HELP! I need help or I need to report something.
Your report will be kept confidential! This is a way to tell the principal if you have been bullied or if someone needs help. If you or someone that you know is in need medical help or is in danger now then call 911.
Sign in to Google
to save your progress.
Which best describes you or what happened?
I was bullied
I saw someone being bullied or may need help
I heard that someone was being bullied or may need help
Someone I know might hurt themself
Someone I know might hurt someone
I think that someone is being hurt by someone
I need help
Please describe in detail what events took place.
Where did this happen?
In hallway at school
On the school bus (STL)
Online (social media)
In the community (store, street, person's home, etc)
In class (if in class please identify which class below in 'OTHER')
Who was there?
NAMES of Staff, bystanders, students.
Do you believe that the person your concerned about is in physical danger?
Copy & Paste Links to videos or pictures?
Copy and paste external website link(s) for any sites that have information, pictures, or videos that are important. Or email them to:
Your Name - Person Reporting (Optional)
Only share your name if you feel comfortable.
Your Email (Optional)
Only share your email if you would like to be contacted as follow up?
Never submit passwords through Google Forms.
This form was created inside of Sir Wilfrid Laurier School Board (swlsb.ca).