to the INTERNET------(See "privileges" on page 1).
Parent or Guardian Signature ______________________________ Date _________
ANTI-HARASSMENT/BULLYING COMPLAINT FORM
Name of complainant:
Position of complainant:
Date of complaint:
Name of alleged harasser or bully:
Date and place of incident or incidents:
Description of misconduct:
Name of witnesses (if any):
Evidence of harassment or bullying, i.e., letters, photos, etc. (attach evidence if possible):
Any other information:
I agree that all of the information on this form is accurate and true to the best of my knowledge.