The best way to prevent bullying is to report it when it occurs. This form offers students and parents the opportunity to do that in a confidential manner. Each reported incident of bullying will be taken seriously and investigated.

If you have any questions or concerns, do not hesitate to contact the High School DASA Coordinator:

Courtney Doyle, behavior intervention specialist
(716) 871-7400, ext 3117
email: cdoyle@csat-k12.org

	First and Last Name (optional):

	Email address (optional):

	Phone number (optional):

	Please describe the incident of bullying in as much detail as possible.*

High School Bullying Report