Sequoia Middle School Anonymous Tip/Feedback Form
We know that sometimes it can be difficult to speak up when there may be needs or concerns in our community. Please use this form to notify school administration about a concern.

To take action, we will need information about your concern. If there is someone who needs support or a check-in, be sure to include their name, grade, or other information that can help us reach out to them. If you observed something unsafe, tell us where it happened and who was involved.

This form is anonymous; it does not track who submits a response. It also means we cannot find you to ask for more information.

If you do want to speak with someone, please call Sequoia Middle at (925) 934-8174
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I understand that if something is time-sensitive and of an extremely urgent nature or is an immediate emergency , I would notify the school immediately at 925-934-8174.  Please type your initials to indicate agreement. *
What concern or need do you want to report? *
Approximately what day/time did this occur? (if unsure of exact day and/or time please share if it was possibly a day, week, month ago) *
Source of Information:
Is the information you are providing something you saw with your own eyes and heard with your own ears? 
Or, was it something someone told you.   Explain
 *
Required
I verify that the information I have reported is true  and not a rumor to the best of my knowledge.  *
Required
How urgent is this concern or need? *
Your Name (optional)
If you want someone at Sequoia Middle to follow up about your concern, please include relevant information to help us get started (names, details of the incident, etc.) *
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