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Anonymous Report of Safety Concerns
This is an anonymous form. Your name will not be recorded unless you provide it.
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* Indicates required question
What is your concern?
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Your answer
What is the victim's name? Who is being targeted, bullied or harassed? If it's yourself, enter your own name.
Your answer
What grade is the victim in?
Your answer
What happened? What leads you to believe this person is being bullied, harassed or intimidated?
Your answer
Who do you believe is responsible for the bullying, intimidating or harassing?
Your answer
Keep in mind that the school will investigate this report . Write your name if you feel comfortable doing so. We will NOT share your name with the person you think is bullying OR the victim without your permission.
Your answer
Is there anything else you think we should know about this matter?
Your answer
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