InForm

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InForm

A way to share your concerns with Lakeview administration.

Email *

Please share your grade:
*

Grade 5

Grade 6

Grade 7

Grade 8

Grade 9

Grade 10

Grade 11

Grade 12

Other

I am concerned about:
*

My safety and / or well-being

Another person's safety and / or well-being

An incident in school

Required

I would like my report to: *

Be investigated

Not be investigated, but to share information

Not sure

I would describe what happened as: *

Bullying

Harassment

Discrimination

Hate Crime

Disrespectful

Other

I don't know

Required

This incident happened to: *

Another student

A staff member

Required

The person(s) I am reporting is: *

When did this happen (please put date, time, class period, name of class, lunch etc. ). *

Let us know what happened:

Would you like to share your name? You may also include the names of anyone else (staff or students) who may have witnessed the incident. If you choose NOT to share, it will be difficult to monitor or investigate the incident.

If you didn't share your name, why did you choose to remain anonymous:

I don't want to get anyone into trouble

I am worried about retaliation

I cannot prove the behavior took place but I have heard about it

I don't want my social circle to be mad or judge me

I have reported this before one or more times

I'm worried no one will believe me

I don't want anyone to know it took place

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