Greenmeadows Intermediate School treats all incidents of bullying seriously, but incidents can only be dealt with if the school is made aware that a problem exists. Your help by providing as much information as possible is appreciated.

The school is limited in its powers with regard to incidents that take place outside of school hours, so please consider contacting the police in these cases, and for more serious matters.

*Your Name

We need your name to action this bullying report. Your name and details will be kept confidential by the school.

*Contact Details

Please supply us with an email address and/or phone or mobile number so we can contact you for further information or clarification.

*Bullied Person

Please tell us the name of the child being bullied.

*Relationship I am the person being bullied Parent Relative Friend(adult) Friend(child)

Please tell us how you know the person being bullied.

Type of Bullying

• Name Calling
• Put Downs
• Hitting/Assault
• Theft/Stealing
• Exclusion (Being left out)
• Other

Please tell us what kind of bullying you are reporting. You may select more than one if necessary.

Name/s of Bullies

If you know their names please tell us who was doing the bullying.

*Where?

Please tell us where the bullying has taken place.

*What Happened?

Please tell us as much as you can about the bullying incident(s).