St. Athanasius Anonymous Reporting Form

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In a effort to ensure that all students, staff and families have the ability to report concerns anonymously to the school leadership, this form is available for reporting. This form is for those who wish to remain anonymous or for students who want to report a concern but do not know exactly what they should do. We ask that parents/guardians continue to communicate with the school leadership directly via email or phone.

***Remember, if this is an emergency, please dial 911 immediately!***

This reporting form is a proactive measure to ensure lines of communication are open and that students, staff and families have a way to report incidents and maintain anonymity. Another option available is sharing your information directly with a trusted adult.

What concern would you like to report? *

Bullying

Threat to Self

Threat to Others

Drug/Alcohol Use

Abuse (physical, sexual, verbal)

Other:

How did you learn of this concern? *

I saw it on social media.

I saw it in person.

I heard it.

Someone else told me.

Where did this happen? *

At school

Not at school

Online

Other:

When did this happen? *

YYYY

Who is/was involved? *

Please describe your concern in as much detail as you can. *If this an emergency, call 911. *

If you would like for us to talk with you about this concern, please leave your name below. This is just an option and not required.

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This form was created inside of St. Athanasius School. Report Abuse

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