Harrington Anonymous Reporting Form
Please use this form to report concerns about your safety or the safety of another person here at Harrington Elementary School (e.g., bullying, harassment, etc.).

The information you provide will be emailed to a school staff member who will check his or her email DURING REGULAR SCHOOL HOURS. If you or someone you know is in IMMEDIATE DANGER, please call 911 or contact a trusted adult or school staff member.

Other helpful resources include the Boston area Samaritans 24-hour Suicide Prevention Hotline: 1-617-247-0220 and the National Sexual Assault Hotline: 1-800-656-4673.

NOTE: You can make this report completely ANONYMOUS by not telling us your name (we won't know who you are). However, it will be easier to help you if you share your name. If you choose to tell us who you are, we will try our hardest to hide your identity.

Concern
Describe your concern (include as many details as possible such as names, dates, location, etc.):
Your answer
Incident Type
Check all boxes that best describe what happened.
Target
If this is about bullying or harassment, who, in your opinion, was the target? If more than one target, include each name.
Your answer
Instigator
Who, in your opinion, was doing the bullying or harassment? If more than one aggressor, please include all.
Your answer
Knowledge of Incident
Please indicate how you know about this incident.
Reporter Information (optional)
Thank you for taking the time to report this incident. Again, this report is anonymous and confidential but you may provide your name below if you wish to be contacted.
Reporter Name
Your answer
Reporter Email
Your answer
Reporter Phone
Your answer
Contact Preference
How I prefer to be contacted:
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