WFMS Reporting Form
West Feliciana Middle School students may use this form to report an incident or concern.
This form may be used to report any issues you are having as a student. You can also report issues that other students are having by using this form. We will use the information that you provide in the most confidential way possible. If you prefer to remain anonymous, please type the word "anonymous" in the form for your first and last name. By giving us your name, you give us an opportunity to call you in to discuss the incident or issue in more detail if needed. IF THIS AN EMERGENCY, OR IF SOMEONE IS IN DANGER, GO DIRECTLY TO AN ADULT AND ASK FOR HELP. IF YOU ARE CONCERNED FOR YOUR SAFETY OR THE SAFETY OF ANOTHER STUDENT OUTSIDE OF SCHOOL, PLEASE CALL 911.
I have read and understand the above statement.
Your First Name
Your Last Name
Select your gender.
Prefer not to say
Select your grade.
Who are you making this statement about?
What date did the incident take place or start?
Where did the incident or issue take place?
On the bus
School sporting event
Other school sponsored event
List any witnesses.
Was there an adult present? If so, type their name.
Did you report the incident to an adult?
If you reported the incident to an adult, please type their name here.
Type a description of the incident or problem. Include as many details as possible.
Has this ever happened before? If so, explain.
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This form was created inside of West Feliciana Parish School Board.