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CCSD66 School Safety Tip Form
This site provides parents and students with an option to anonymously report bullying and/or other safety concerns within their schools. Please include as
much detailed information as possible
because doing so will greatly assist administrators in investigating and addressing the concern(s). This tip form is anonymous unless you choose to identify yourself.
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* Indicates required question
What would you like to report?
*
Choose
Bullying
School Safety
Your Name (This is optional but helpful in pursuing this report)
Your answer
I am a
*
Student
Guardian/Family Member
Staff Member
Describe what happened (Include information on the bully, victim, any witnesses/bystanders; the more detail you provide, the better)
*
Your answer
Location
*
Bus
Bus Stop
Cafeteria
Classroom
Hallway
Playground
Off School Grounds
Other:
School
*
Elizabeth Ide
Prairieview
Lakeview
Other:
Time and date this happened
*
Your answer
Have you told anyone else about this incident? Who? (optional)
Your answer
Additional Information (optional)
Your answer
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