MHS Anonymous Incident Report
This anonymous form can be used by students, parents, and community members to share concerns. The information will be shared with school administrators.
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Date of incident
MM
/
DD
/
YYYY
Location: *
Specific location or if online please give details:
Please describe, in as much detail as possible, what you saw and heard: *
Were there any bystanders or witnesses? *
Please identify if you witnessed this behavior as a bystander OR if you were the target (victim). *
What is the target's name? *
What is the grade of the target? *
What is the offender's name? *
What is the grade of the offender? *
If you would like a school administrator to contact you, please include your name here (optional)
Is there anything else that you think would be important for us to know?
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