THIS FORM HAS TWO PURPOSES:
1. To fill out an INCIDENT REPORT about an incident on campus. You can use this form to tell Admin about a potential conflict, lost or stolen items, something you saw, vandalism, your side of a story etc.
2. For students receiving an OFFICE REFERRAL to provide an incident report as part of the investigation and processing of behavior office referrals.
*This form is completely confidential. Only staff members will be able to see who is submitting them.
* THIS FORM IS ONLY MONITORED DURING SCHOOL HOURS.
* THIS FORM IS NOT FOR EMERGENCIES. Please immediately report emergencies to March MS staff.
Last Name, First Name
Who is your counselor?
Ms. Hartman - Last Names: A - L
Mrs. Breems - Last Name: M - Z
Pick a category to describe the incident.
Office Referral (Behavior Incident)
I have information related to an ongoing issue.
Something is missing or stolen. (Phone, Chromebook, other)
I have information about something that happened on Social Media.
Names of all people involved.
Where did the event occur?
When did the event occur? What Period?
WHAT HAPPENED? (Give as much detail as possible.)
By typing my name below, I declare the statements I have written are true. (Please type your name as your signature to the incident report)
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