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  • Bully Box Form

    Diunggah oleh

    Leonila Miranda
    163 tayangan1 halaman
    This document contains a bully box form that students can fill out to report incidents of bullying. The form collects the name and grade of the student filling it out, whether they were bullied or witnessed bullying, the name and grade of the bully, where the incident took place, any witnesses, and whether they told anyone about the incident. Multiple copies of the form are provided.

    Deskripsi Asli:

    anti bullying

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    © © All Rights Reserved

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    DOCX, PDF, TXT atau baca online dari Scribd

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    This document contains a bully box form that students can fill out to report incidents of bullying. The form collects the name and grade of the student filling it out, whether they were bullied or witnessed bullying, the name and grade of the bully, where the incident took place, any witnesses, and whether they told anyone about the incident. Multiple copies of the form are provided.

    Hak Cipta:

    © All Rights Reserved
    Unduh sebagai DOCX, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    163 tayangan1 halaman

    Bully Box Form

    Diunggah oleh

    Leonila Miranda
    This document contains a bully box form that students can fill out to report incidents of bullying. The form collects the name and grade of the student filling it out, whether they were bullied or witnessed bullying, the name and grade of the bully, where the incident took place, any witnesses, and whether they told anyone about the incident. Multiple copies of the form are provided.

    Hak Cipta:

    © All Rights Reserved
    Unduh sebagai DOCX, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 1

    BULLY BOX FORM BULLY BOX FORM

    Name: ______________________________________ Name: ______________________________________


    Grade & Section: ______________ Today’s Date: __________ Grade & Section: ______________ Today’s Date: __________

    Please check one: Please check one:


    I am being bullied I saw someone else being bullied I am being bullied I saw someone else being bullied

    Bully’s Name / Grade & Section: ________________________ Bully’s Name / Grade & Section: ________________________
    Where did the event happen? Where did the event happen?
    Classroom Corridor Canteen Classroom Corridor Canteen
    Laboratory Comfort room Court Laboratory Comfort room Court
    Outside of School Other place/s: _______________ Outside of School Other place/s: _______________
    Please list any witness/es (include the Grade & Section): Please list any witness/es (include the Grade & Section):
    ________________________________________________________________________ ________________________________________________________________________
    ____________________________ ____________________________
    Did you tell anyone about the event? Did you tell anyone about the event?
    No Parent Teacher No Parent Teacher
    Classmate Others: _______________________ Classmate Others: _______________________

    BULLY BOX FORM BULLY BOX FORM


    Name: ______________________________________ Name: ______________________________________
    Grade & Section: ______________ Today’s Date: __________ Grade & Section: ______________ Today’s Date: __________

    Please check one: Please check one:


    I am being bullied I saw someone else being bullied I am being bullied I saw someone else being bullied

    Bully’s Name / Grade & Section: ________________________ Bully’s Name / Grade & Section: ________________________
    Where did the event happen? Where did the event happen?
    Classroom Corridor Canteen Classroom Corridor Canteen
    Laboratory Comfort room Court Laboratory Comfort room Court
    Outside of School Other place/s: _______________ Outside of School Other place/s: _______________
    Please list any witness/es (include the Grade & Section): Please list any witness/es (include the Grade & Section):
    ________________________________________________________________________ ________________________________________________________________________
    ____________________________ ____________________________
    Did you tell anyone about the event? Did you tell anyone about the event?
    No Parent Teacher No Parent Teacher
    Classmate Others: _______________________ Classmate Others: _______________________

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