Taylor Community School Corporation Bullying Form: Please complete all of the areas below that you can. Information that is (*) starred is required. Thank you.

Who Are You?

Person Reporting Bullying (First Name and Last Name) (*)

Please let us know your name.
What is Today's Date (*)

Please select today's date.
When did the bullying happen? (*)

Tell us when it happened.

Who Was Bullied?

Who do you think was bullied? (First Name and Last Name) (*)

Please let us know the bully's name.
Where does this person attend school?

Invalid Input
Who is this person's teacher?

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What grade?

Who Is The Bully (or Bullies)?

Who do you think was bullying? (*)

Please let us know the person's name.
What grade?

Please let us know your name.
Type of Bullying (check all that apply) (*)

Select one type.
Where did the bullying happen? (check all that apply) (*)

Tell us where the bullying happened.

Other Information

Is this the first time that this has happened? (*)

Please answer this question.
Have you filed a Student Bullying Report before? (*)

Please answer this question.
Who has been told about the bullying or saw what happened? (check all that apply) (*)

Please tell us this.
Any other information that you would like to share?

Mission Statement

The Taylor School Community mission is to prepare and encourage our students for success in all life’s opportunities through the foundation of TITAN STYLE.

Vision Statement

Working together as the Taylor Learning Community, we will distinguish ourselves as a premiere educational site, ensuring a life of success and continued growth for all of our students.