Confidential Incident Reporting Form

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This form is to report incidents of harassment against students and staff, share information, and provide confidential or anonymous feedback to the District regarding experiences on our campuses or within our District. This form is monitored during regular business hours, M-F, 8:00-4pm. This form is not monitored 24 hours a day. If you have an emergency and need immediate assistance, please call 911.

Please fill in the information requested below, to the best of your ability, and click the SUBMIT button when you are finished. This information will be received confidentially by the District’s Superintendent, Becky Rosales and Deputy Superintendent, Kristy Treewater.

Once we receive your confidential report, we will start an investigation and contact you, if you have requested to be contacted and if you have provided your contact information in the form below. If you have chosen not to provide your identity or contact information, we will review the information you submitted and determine the available next steps in order to address the matter.

Are you a

student

staff member

parent

community member

Clear selection

What would you like to share/report

If reporting an incident, if comfortable doing so, please provide the date of the incident

YYYY

If reporting an incident, if comfortable doing so, please provide the location of the incident.

What outcome would you like to see occur?

Would you like to be contacted by a District employee?
*

Yes

We would like to contact you to share the results of our investigation and ensure that the issue is addressed. Please consider providing us with your name and phone number.

Submit

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