Loker Elementary School - 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 their 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 24 hour Suicide Prevention Help Line (877)870-4673
-- Call the National Sexual Assault Hotline 1-800-656-4673
This system is completely CONFIDENTIAL AND ANONYMOUS. However, providing your name and contact information is very helpful.
Please provide as much detail as possible. *
My Name: (Optional)
We may not be able to help you unless we know who you are.
Best way to contact you (Optional).
Please provide a phone number or email address.
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This form was created inside of Wayland Public Schools.