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Bullying or Harassment Reporting Form

If the student is in immediate danger, please call 911.

This form should be used to report a possible incident of bullying as defined in the Toledo Christian Handbook under the Anti-Bullying Policy.

The TC Handbook can be found on Eagle Access under Parent/Student Handbooks Tile. Click here to be redirected: https://toledochristian.myschoolapp.com

Please complete the form below. Required fields marked with an asterisk *

Your Name (optional)

Answer Required

Name of Student being bullied or harassed:

Answer Required

Name of Student(s) accused of bullying and/or harassment:

Answer Required

Is this the first time you have reported this incident?

Answer Required

Yes

If reported previously, who did you report it to?

Answer Required

Where did the incident(s) occur?

Answer Required

On school property

At a school sponsored activity or event off of school property

On the computer/social media

Other:

What was the approximate date & time (if known) the incident occurred?

Answer Required

Please describe what happened during the incident.

Answer Required

Please list any possible witnesses that were present during the incident.

Answer Required

Thank you for taking time to complete this form.

By completing this form, you are verifying that your statements are true and exact to the best of your knowledge. If you would like to be contacted to discuss your statement, please confirm with your email address below.

If you prefer to remain anonymous, please leave the confirmation email box below blank.

Confirmation Email

Email Required