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Quick Tip Report
Please use this form to make an anonymous report of concerning activity.
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* Indicates required question
Building where concern or student of concern is located
*
Lakeland Jr/Sr High
Lakeland Intermediate School
Lakeland Primary School
Wolcott Mills
Lima-Brighton
Required
Reason for concern
*
Possible abuse/neglect- if so call 1-800-800-5556
Possible violence (fight)
Possible possession of weapon
Possible possession of drugs
Someone is being bullied/harassed
Someone is talking about harming themselves
Other:
Required
Name of student you are concerned about
*
Your answer
Grade of student you are concerned about, your best guess
*
PreK
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
If the student is currently at school, what class are they in: best guess of room number, teacher name, or subject
Your answer
Please tell us why you are concerned. What have you seen or heard that is concerning?
*
Your answer
If you are willing, please share your name and contact information in case we need more information. This is NOT required, but can be helpful. Your information will NOT be shared with the party you are concerned about.
Your answer
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