If you see something say something
This online document is provided as a courtesy for use by Northern Cass to ensuring all voices are heard. Reports can be done anonymously.
Role: I am a...?
Phone Number (optional)
Email Address (optional)
Date of incident
Please provide accurate information in order for school officials to respond appropriately. Please be detailed.
Student who was involved (First, Last Name)
Other witnesses (include grade if you know):
Time of incident/Period of day
Location of incident
Nature of incident (Select all that apply)
Greatness Shoutout: Recognized something great in someone.
Physical: Acts such as hitting, spitting, kicking, or damaging your or another student's possessions
Emotional: Spreading mean rumors or lies about someone.
Verbal: Saying mean or hurtful comments or threatening you or another student.
Cyber/Online: Occurs on website or social media, by cell phone, email, or text message.
Social: Excluding you or a student from a group, telling peers not to talk to you or another student.
Nature of incident other than those above.
Did the issue include mean comments about you or other students?
Race/Ethnicity or Perceived Race/Ethnicity
Sexual Orientation or Perceived Sexual Orientation
Gender or Gender Expression
Religious or Cultural Beliefs
Please provide any other details about the incident that you feel are important.
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This form was created inside of Northern Cass School.