Workplace Bullying Institute


Go 'On Record'
Only Targets of Bullying, Please


As the definitive U.S. and Canadian resource for the media on workplace bullying, the Workplace Bullying Institute is often asked to provide names of bullied individuals willing to tell their stories on TV, radio or to newspaper reporters or freelance writers writing for magazines. See the media who have covered our work

This could and should be done only by people sufficiently emotionally distant from the bullying episodes so as to be able to relate details without falling apart.

If you are willing to tell your story on a very public stage, AND
can do so without total breakdown or further trauma,
PLEASE COMPLETE THE FORM BELOW

If you prefer to speak directly with us, call 360-656-6630.

By completing the form below, you give your consent to us to share your name and number with newspaper and magazine reporters or TV and radio producers.

When we call (and we may never call you), please remember your voluntary submittal below.

All lists of people gathered by WBI remain private. You can remove your name at any time by contacting us.

Please know that you will be contacted ONLY when reporters or producers in your town call us to find people for interviews.

Your gender Enter number: 1=Female, 2=Male
The gender of your principal bully is/was: Enter number: 1=Female, 2=Male

Your name

Your age

Your bullying history:
Briefly (in 100 words or less) describe the most harmful things the bully did:

Most reliable telephone

e-mail

City

Your (Note separate DC area) OR Your: