Report Bullying and Safety Concerns
Highland Academy wants to make sure that our students are able and willing to make a report of bullying or safety concerns when needed. If you feel you are being bullied, have witnessed a bullying incident, know of a potential bullying incident, or have information about something unsafe happening on campus, please complete this form to make a confidential report to school administration.
* Required
Person who is making the report
Your answer
Contact information for reporting person
Your answer
Incident Date
*
MM
/
DD
/
YYYY
Incident Time
*
Time
:
AM
PM
Incident Location
*
Your answer
People Involved
*
Your answer
Description of incident, including all pertinent details
*
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of HACS.
Report Abuse
Forms