Bully/Safety Reporting
Welcome to the Bremen High School District 228 Bully and Safety reporting system. The purpose of this system is to allow students, parents, and community members to alert the school district to bullying or potential safety issues including abuse, threats, or other violence.
Please remember that this Bully and Safety reporting system does not replace the importance of utilizing 911, nor does it replace the healthy and open communication that parents and students have with reporting concerns to teachers, principals, and other school staff or parents. If this is an emergency, please dial 911.
Sign in to Google
to save your progress.
Learn more
* Required
What campus does this report involve?
*
Bremen High School
Tinley Park High School
Hillcrest High School
Oak Forest High School
Delta / Achieve at SSC
What are you reporting?
*
Choose
Assault / Abuse
Bullying - Cyber
Bullying - Emotional, Verbal, Physical
Drugs
Employee Misconduct
Fights
Gang Activity
Sexual Harrassment
Suicide Suspicion
Theft
Threat of Violence - Contact any staff member ASAP
Vandalism
Weapons on Campus - Contact any staff member ASAP
Other
I am a...
*
Student
Parent/Guardian
School Employee
Community Member
Other:
Location of Occurrence
Be as specific as possible. For instance, "Oak Forest High School, Main Gym" or "Tinley Park High School, Room XXX" or Twitter
Your answer
When did this occurrence happen?
*
MM
/
DD
/
YYYY
What time did this occurrence happen?
Time
:
AM
PM
Describe the incident.
*
Your answer
Are you a witness to this event?
*
Yes
No
If there are other witnesses, list them here.
Your answer
Is this a repetitive occurrence?
Yes
No
I don't know
Clear selection
Have you reported this incident to an adult?
*
Yes
No
List the name of the alleged offender.
*
Your answer
If you are willing, what is your name? Without a name, it may be difficult to investigate the alleged incident. We encourage your contact information, and will keep your identity protected.
Your answer
If you are willing to answer additional questions about this occurrence, please include email or phone number in this space.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Bremen Community HS District 228.
Report Abuse
Forms
