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.
Your answer
Where did this event occur : school gym, playground, cell phone, home, internet?
Your answer
Person Making the Incident Report (optional)
Your answer
Relationship to victim if applicable (optional)
Your answer
Incident Date
Incident 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)
Your answer
Name(s) of witnesses to incident ( if applicable)
Your answer
Please leave contact information if you would like to be contacted by the school administration ( name, phone and or email).
Your answer
Never submit passwords through Google Forms.
This form was created inside of Calhoun County ISD. Report Abuse - Terms of Service - Additional Terms