Parkhall Primary School

Policies

You can now use our online report form to report bullying:

Bullying Report Form

Please use this form to report any incidents of bullying. Please remember that bullying is a repeated event that unfortunately can occur in school.

Name of person completing form:

Name of pupil(s) being bullied:

Year Group / Form Group:

Please provide contact details:

Describe briefly what happened/ is happening:

Where did it happen?

When did it happen?

Who was doing the bullying? If there was more than one person involved what were their roles?

Did anyone else see it happen, if so who?

How often is the bullying taking place? Please provide examples.

How long has it been going on?

If you are being bullied how does it make you feel? If you are reporting bullying that is happening to someone else how do you think it makes them feel?

If you are being bullied are you being physically hurt? If you are reporting bullying that is happening to someone else are they being physically hurt?

As a result of the bullying have you or those being bullied needed medical help?

Have you told anyone else about the bullying? Please write their name next to who they are in the list below:

If you are being bullied what sort of help and support would you like?

Do you have any worries now that you have reported this bullying?