BCSC School Incident Report
See Something, Say Something. 
This form is to provide our school community a way to report suspicious activity, threatening or concerning statements (in-person, online, or in a text message), risky behaviors, unusual or bizarre content towards a BCSC school or student(s). This is a safe way to report a threat or potential threat to a student and/or school.  

There are several safe ways to report suspicious activity:

1) In cases of emergency or immediate risk, call 911.
2) Immediately report to a trusted adult.
3) Complete this form.

The named school will be provided a copy of the report.
  • Investigation will begin the day of the report if received during normal school hours.
  • Investigation will begin on the next school day for reports received outside normal school hours.

Please provide as much detail as possible.
"Incident" refers to the specific activity, language, behaviors or threat.

Sign in to Google to save your progress. Learn more
Email *
Your full name: *
Your email address: *
I am a *
Your phone number: *
Who was involved? (please provide first and last names)
*
When did you learn about the details of the incident? *
MM
/
DD
/
YYYY
Approximately what time did you learn about the incident? *
Time
:
At what BCSC school is the incident targeted towards? *
Specify where the incident occurred.  (i.e. Parking Lot, Gym, Room 214, etc.) *
Describe the incident in detail. (Describe exactly what they are doing, vehicle color/make/license plate, weapons, etc.) *
What caused or precipitated the event? *
Witnesses to the event. *
Is there any other information you would like to add or feel it is important to share.
By submitting this form I agree that the information above is true and accurate to the best of my knowledge.  I understand that intentional false reporting may result in consequences including criminal charges, as well as school discipline resulting in suspension or expulsion from school. 
*
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Bartholomew Consolidated School Corporation.

Does this form look suspicious? Report