370 Mitten Lane, Cashiers, NC 28717 
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Bullying Incident Report

Please help us combat bullying and/or harassing behavior within the Summit Charter School. If you have witnessed or know about an incident of bullying or harassing behavior, please use the form below to report it. You may choose to remain anonymous, if you wish. If you'd prefer to discuss this matter directly with a school official, please call (828) 743-5755 or email us.

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Please type your full name.

Please enter the location of the incident before continuing.

Please enter the name(s) of the bully(ies) before continuing.

Please enter the name of the targeted individual(s) before continuing.

Please describe the incident in question before continuing.

Please indicate and list any witnesses to the incident before continuing.

Please indicate if you have relayed this incident to others before continuing.

Please indicate your desire to be contacted regarding this incident before continuing.

When should we contact you?
Please select a date when we should contact you.

If you selected yes above, please provide the phone number, email address or physical address at which we should contact you.
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Summit Charter School

370 Mitten Lane, Cashiers, NC 28717
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