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5 Phases to Safe Learning
Online Bullying Report

If you are a student, parent, or friend of an Olson Middle School student who has experienced bullying please report it to us using the form below.
First Name of Person Reporting 
Last Name of Person Reporting 
How can we contact you if needed? 
Age of Person Reporting
Please check the box that pertains to the situation(s).
1. Check the box that pertains to the sitution
Type the name of the person being bullied, if known. Fill out what you can.
2. Name of person being bullied 
Type the name or names of the person or people doing the bullying, if known. Fill out what you can.
3. People doing the bullying 
Describe the bullying situation--write as many details as you can, including, who is involved, where it is taking place, when it is taking place and what is taking place. Fill out what you can.
4. Describe the situation 
If you would like to be contacted, please include your name, phone number and/or email address.
5. Contact information 
Was this issue previously reported?

* denotes a required field