South Central Community Schools "Anonymous Report Form"

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South Central Community Schools "Anonymous Report Form"

* If this is an immediate safety concern (bomb threat, weapon on campus, etc.) please contact your school administration, teacher, staff member and/or call your local law enforcement.

* Please give complete responses. It will be very difficult to help if we do not have names of those involved and a complete description of the facts. Thank you for taking the time to assist us in keeping our school safe.

Before beginning your anonymous report, please answer the following question:

The report I am about to submit is, to my knowledge, truthful.

Yes

School *

What do you want to report? *

A friend who needs help

Drug Possession, Use or Sales (including Vaping, Prescription Drugs, Alcohol, etc.)

Cyber Bullying - texts, online, etc.

Physical Bullying - pushing, hitting, etc.

Verbal Bullying - name calling, intimidation, etc.

Harassment (sexual/gender)

Harassment (racial/ethnic)

Harassment (religious/political)

Possible Fight

Possible Threat

Theft

Vandalism or Graffiti

Other

Required

Who was involved?

What is the name of the student(s) involved?

When did this happen? *

YYYY

What time did this happen? *

Time

Where did this happen?

Please be specific. (For example, "near classroom #", in the high school east hallway, in the south parking lot," etc.)

Please explain the issue in detail.

Explain with known names or a detailed description of the people involved and exactly what happened.

You may provide your name here if you wish. We assure you that even if you give your name, we will keep your tip confidential.

First and Last Name please.

Thank you for making South Central Community Schools a safer place.

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