WS Safety Box Form
Thank you for taking the time to share information with us so we can help! Please fill out this form to let us know more about the situation you are concerned about. If you wish to remain anonymous, please do not include your name or email. Again, we appreciate you helping us to take care of yourself, others and this place!
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Date of this Report: *
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Date of Incident: *
may be different from date of the report.
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What is the nature of the report: *
What are you worried about?
Required
When did this happen? *
What time of day?
Location *
Where were you when this happened?
Name(s) of student you are concerned about: *
Others involved: (Please include first and last name, if known.) *
Please state what happened: *
Your name (optional):
email address (optional)
If this is an emergency please make this report to the Williston Police Department at (802) 878-6611 or call 911. Thank you for caring enough to fill out this form and helping us make our school a safe learning environment! You may also make a report during school hours in person to any trusted adult or by calling (802) 871-6174.
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