* Required Response
Bully Hotline Report
Use this form to report any bullying that you have witnessed or experienced at JMS. Parents, use this form to report any potential bullying situation involving your student.
What is the name of the bullying victim?
When did you witness the bullying incident?
What day or days did you see the bullying actions?
Where did the bullying behavior occur?
Name or names of students who are demonstrating the bullying behavior:
Please give a detailed description of the bullying behavior.
Approximately what time (or time of day) did the incident occur?
Before school, after school, period, or hour.
If you are a parent, what is the best way to contact you?
Please provide contact info.