FHS | Horace Mann | Remington | Annie Sullivan | Davis Thayer | Kennedy | Keller | Jefferson | Oak | Parmenter | Brick | ECDC | Lifelong

| Public | All Schools

Bullying Prevention & Intervention
Anonymous Incident Reporting Form

Reports may be made anonymously, but no disciplinary action will be taken against an alleged aggressor solely on the basis of an anonymous report.

Reporter Information

Check whether you are the	Target of the Behavior Reporter (not the target)
Check whether you are a	Student Parent Other (If Other, Please Specify)

Incident Information

Name of Target (of behavior)
Name(s) of Aggressor(s) (Person(s) engaging in behavior)
Date(s) of Incident(s)
Time(s) of Incident(s)
School
Location(s) of Incident(s)

Witnesses

Please list name(s), role(s) and affiliation(s) of anyone who may have witnessed the incident or have information about it.

Incident Details

Describe the details of the incident (including names of the people involved, what occurred and what each person did and said, including specific words used).
Name of Person Filing this Report (Optional)

Updated: February 24, 2011

[Franklin] [Schools] [Index] [Search]

This Web site has been developed for the benefit of residents, schools, businesses, and anyone who is interested in the town. It is a work-in-progress. We welcome your questions, comments, and feedback on how we can make it more useful and enjoyable to use. Please contact the Webmaster.

"Genius without education is like silver in the mine." - Benjamin Franklin

Copyright ©1995-2011 Town of Franklin, Massachusetts, All Rights Reserved. This website and its contents are the exclusive property of Town of Franklin. No contents may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopy, recording, or any information storage and retrieval system, without permission in writing from the Town Administration. Permission to use includes acknowledging the source of the material. Click here to apply for permission.