Journey "Say Something" Student Form
Journey Middle School is committed to providing a safe environment for our students, faculty, and staff. If you see something, hear something, experience something or if something feels wrong, your Journey leadership team wants to know! For quick, easy, and anonymous reporting, please complete this form answering all questions to the best of your ability. A Journey administrator will be notified immediately and address the report in a timely manner. 

Email *
Date of Incident
MM
/
DD
/
YYYY
Time of Incident (An Estimation is fine) *
Time
:
Block *
Location (Classroom-list teacher's name, Bus-list number, Cafeteria, Gym, Bathroom (list area), Hallway (list floor and wing color) *
Students Involved in the Incident (List all students involved) *
Describe what happened. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of MCBOE.

Does this form look suspicious? Report