RFHS Anonymous Reporting Form
NOTE: Information included in this form goes privately to the Campus Critical Incidence Response Coordinator. All submissions are reviewed and investigated.
The following form collects information on incidences of bullying, threats to the campus, sexual assault, sexual harassment, dating/domestic violence, or stalking. If you wish to report something not covered by these topics you may do so in the narrative section
If you would like to speak privately to someone, please call (361) 790-2220 x2046. You can also e-mail
If this is an emergency situation, please ensure the safety of affected individuals before completing this form.
Your Name or Anonymous
Affiliation with the Incident
I am the victim/witness of the incident
I am a third-party (friend, sibling, parent, etc.)
Type of Incident(s)
Non-Consensual Sexual Contact (Inappropriate Touching)
Terroristic Threat (threat to campus, district, etc.)
Personal Threat (threat to harm you or another person)
Have you reported this incident to anyone else at Rockport-Fulton High School before today?
Yes (please advise who you reported this incident to in the "other" section
No, but I have reported it to another person or agency
The following questions ask about the incident(s) that you are reporting. If any of the information is unknown, please leave the question blank.
Be as detailed as possible.
Date of Incident
Approximate Time of Incident
Victim's Affiliation with RFHS
Include any additional relevant information you feel is important.
Alleged Perpetrator's Name
Alleged Perpetrator's Gender
Alleged Perpetrator's Age
Alleged Perpetrator's affiliation with RFHS
Location of the Incident
On Campus (please add details in the "other" section)
Off Campus (please add details in the "other" section)
School Sponsored Event (field trip, athletic event, etc. --- provide details in "other" section)
How do the victim and alleged perpetrator know each other?
Provide a description of the incident (Who, What, When, How, & Why)
Do you wish for a RFHS counselor or administrator to contact you?
Thank for your time and willingness to make RFHS a safe environment for education.
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This form was created inside of Aransas County ISD.