Valley Unified Bullying /Cyberbullying Reporting
Bullying or suspected bullying is reportable in person or in writing (including anonymously) to school personnel. Upon completion of this form, or when providing a verbal report, submit to designated school personnel or administrative office.
Date the alleged incident of bullying is being reported:
Person(s) reporting the alleged incident(s) of bullying (this is optional as reports can be made anonymously, except when reported by staff, coaches and advisors)
Skip this question if you want to remain anonymous and check off the next box.
I choose to remain anonymous
I do not chose to remain anonymous
Person reporting is: (Check one)
School Staff (non-administrator)
Best contact number of person reporting (optional)
Skip this question if you do not want to leave your number.
Best email of person reporting (optional)
Skip this question if you do not want to leave your email.