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Anonymous Incident Tip-Off Form
Please use this form to report any incident anonymously to school leaders. Your identity will remain confidential.
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* Indicates required question
Email (Optional)
Your answer
Date of Incident
*
MM
/
DD
/
YYYY
Time of Incident (or approximate time)
*
Time
:
AM
PM
School Location of Incident
*
Choose
Elton Elementary School
Elton High School
Fenton Elementary School
Hathaway High School
Jennings Elementary School
Jennings High School
James Ward Center of Excellence
Lacassine High School
Lake Arthur Elementary
Lake Arthur High School
Welsh-Roanoke Junior High School
Welsh Elementary School
Welsh High School
N/A
Location of Incident (Be specific: e.g., Hallway near Room 105, Football Field, Cafeteria)
*
Your answer
Are there specific individuals involved (students, staff, or others)?
*
Yes, I know who was involved.
No, I don't know the individuals.
I only know some of the individuals.
If you know the individuals involved, please list their names or descriptions (e.g., Grade 9 male with a red backpack, Teacher in Science Department).
Your answer
Please describe the incident in detail. (What happened, how did it start, who was doing what?)
*
Your answer
Were there any witnesses to the incident?
*
Yes
No
Unsure
If yes, please provide names or descriptions of witnesses, if known.
Your answer
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