Report Harassment or Safety Concern - DeForest Area High School
This is a way for you to report harassment or another safety concern at your school.
Where did the incident occur? *
When did it happen? *
MM
/
DD
/
YYYY
What time did it happen? *
Time
:
How many times has this situation happened? *
Have you reported this incident to an adult? *
Who was bullying, harassing, intimidating or causing harm? *
FIRST and LAST NAME
Your answer
Who was bullying, harassing, intimidating or causing harm? *
GRADE
Who was the person being harmed, bullied, harassed or intimidated? *
FIRST and LAST NAME
Your answer
Who was the person being harmed, bullied, harassed or intimidated? *
GRADE
Describe what happened. Give as much information as you can. *
Your answer
Who witnessed this event?
Your answer
Who are you? *
What is your name?
We will not use your name without talking to you first.
Your answer
If you are not a student at this school and would like someone to contact you, please add your phone number here. (Optional)
Your answer
Submit
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