MCSD Anonymous Reporting

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

At Marlboro, student and staff safety is the most important goal each school year. This is an anonymous form which makes safety reporting simple, secure and enables individuals to quickly report incidents like bullying, cyberbullying, student depression, family problems or unusual student behavior which may warrant immediate attention. The user of this form will remain anonymous. The information will be shared with school staff who can help. Remember - see something, say something!

Why are you choosing to contact us today? Select at least 1 and no more than 3 options. *

Abuse (physical/emotional

Bullying

Cyberbullying

Cyber Harassment

Credible Threats

Depression

Fighting

Gun Violence/Threats

Mental Health

Suicide Threat

Cutting or other Self-Harm

Social Isolation or Withdrawal

Weapons (brought to school or discussion about using them

Other:

Required

What additional information can you share so this issue can be looked into further? Helpful information would include name(s), school building, and as much additional detail you can provide. *

OPTIONAL: If you would like to be contacted regarding this issue, please include your name, grade, or other information and the method by which you would like to be contacted.

Is there anything else you would like to share?

Submit

Clear form

Never submit passwords through Google Forms.

Forms

This form was created inside of Marlboro Central School District.