WMS - Confidential Safety Reporting Form

Please use this form to report bullying, harassment, abuse, drug issues or concerns about the safety of your own life or the life of another person (e.g., suicide, self-injury, etc.).

The information you provide will be emailed to a school staff member who will check his or her email DURING REGULAR SCHOOL HOURS.

If you or someone you know is in IMMEDIATE DANGER, please
--call 911
--contact a trusted adult or school staff member
--call the Samaritans 24hr Suicide Prevention help line: 508-875-4500
--call the National Sexual Assault Hotline: 800-656-4673

NOTE:
This system is completely CONFIDENTIAL and ANONYMOUS. However, providing your name and contact information is very helpful.

    This is a required question
    This is a required question
    This is a required question