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Leestown.Middle.School.FCPS
Safe and Secure Tipline

Bullying

School


Grade



I am being bullied.
Reporting for someone else.

Levels -
(Optional Contact Info)
I want you to be aware.
Contact me!
   
 Needs attention soon...
     (Did you leave enough information for an investigation?)
      If you need immediate assistance, dial 911

What kind of problem(s)?
Calling you names
Cyber-bullying
Dirty Talk
Fighting/Kicking
Leaving you out of groups
Mean Talk
Pressuring you
Social Networking (i.e. Facebook, YouTube, Twitter, etc)
Teasing

Other
Who is doing the bullying?
Please state name(s)
Where is the bullying happening?

At School
Not at School
Online
When?

Is it recent?
Yes No

Has happened more than once?
Yes No

When did it start?


Explain the bullying situation



or Cancel
Social Media