Ranch Academy

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Report Bullying or Threat Reporting

Please complete this form to the best of your knowledge so we can assist you. This information will be kept confidential as possible with the campus administrator and superintendent. We will address this as soon as possible.

Please Fill Out The Report Bullying or Threat Reporting Below

Date of Incident:

Date of Report:

Who was the person(s) engaged in the behavior?

Grade of person(s) who engaged in the behavior?

Who was the behavior against (if applicable)?

Grade of person who the behavor was against (if applicable)?

What type of bullying or threat?

Reaquired field: Physical

Reaquired field: Emotional/Social

Reaquired field: Damage to Property

Reaquired field: Online

Reaquired field: Other

Other location details: (Please explain the specific location details such as which hallway, where on the Internet, what restroom, etc)

Describe what happened with as many details as possible.

Person reporting the incident: Please use your full name.

Thank you for reporting this incident. We appreciate your concern. When you click "Submit Form" this will be sent to the campus administrator.

Email a copy to

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Required Fields