CCS Student Misconduct Reporting Form
Please use this form to report major misconduct between students including bullying, harassment, physical aggression, and/or other unsafe behaviors.
Date of Incident *
When (what time did this happen)? *
Names of student(s) who may have been hurt (target): *
Name(s) of student(s) who may have hurt others: *
Other student(s) who may have witnessed the behavior or incident (bystander/witness): *
Please state what happened: *
Other important information we should know? (optional)
Location (where did this happen):
Your name (optional):
Email Address (optional):
Have you talked to any adults about this issue? Who? (Including parents/guardians)
Never submit passwords through Google Forms.
This form was created inside of Champlain Valley School District. Report Abuse