Report Bullying at Maine Memorial

Report Bullying at Maine Memorial

Maine Memorial Elementary DASA Reporting Form

 

New York's Dignity for All Students Act took effect July 1, 2012.

For more information on DASA, visit the state's website by clicking  HERE.

For the full text of the Maine-Endwell Central School District Code of Conduct, please click HERE.

If you need to report an instance of bullying, please complete the form below.


Date of Incident
Time of Incident
Where did the incident occur?
Who was bullying, harassing, intimidating or causing harm? (Include first name, last name and grade if known)
Who was the person being being harmed, bullied, harassed or intimidated?
Describe the incident. Give as much information as you can. Let us know if there were any witnesses
Have you told anyone?
Your Name (Optional)
If you would like someone to contact you, please add your phone number or email address here. (Optional)

To validate your submission, please answer the following math problem:

captcha math problem
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