Alert to CCISD: A concern or incident report.
Pleas use this alert to give as much information as possible about a concern, incident or possible bullying event. CCISD will act immediately and investigate. We take each report and the safety of our students and staff seriously. Leaving your name or contact information is optional.
Incident/ Concern Description: Please provide information that will help the administration investigate.
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Where did this event occur : school gym, playground, cell phone, home, internet?
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Person Making the Incident Report (optional)
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Relationship to victim if applicable (optional)
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Incident Date
MM
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DD
/
YYYY
Incident Time
Time
:
Did the alleged incident/concern occur on school Property?
Student's Home Campus
Has an adult at school helped you with this complaint?
Is this the first incident?
Alleged Victim/Bully Information ( if applicable)
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Name(s) of witnesses to incident ( if applicable)
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Please leave contact information if you would like to be contacted by the school administration ( name, phone and or email).
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