Online Anonymous Reporting System
This form will allow anyone with information that could prevent or stop behavior such as bullying, harassment, threats, intimidation or acts of violence to share that information with school district administration. Information obtained will be investigated and appropriate action will be taken. This tool will allow parents, students and anyone with information that can protect students to report to the school district immediately. The Charlton County School System developed this feature as part of the district website to protect all students and staff. Please do not use this system for issues requiring immediate assistance. If an emergency needs to be reported, please call 911.
Your Information (optional)
First Name:
Your answer
Last Name:
Your answer
Email:
Your answer
Phone:
Your answer
Address:
Your answer
City:
Your answer
State:
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Zip:
Your answer
INCIDENT INFORMATION:
When did this incident happen? *
Your answer
Where did this incident happen? *
Your Role *
Type of harassment, intimidation, bullying, threat or harm:
Please enter as much information as possible about the harassment, intimidation, bullying, threat or harm you are reporting.
Description of Incident: *
Your answer
Cause of harassment, intimidation, bullying, threat or harm: *
Method of harassment, intimidation, bullying, threat or harm: *
Who was involved?
Please give as much information as you can about the person(s) involved. Type "Unknown" if you don't know.
Who was the person being harassed, intimidated, bullied, threatened or harmed? *
Your answer
What is the victim(s) age or grade? *
Your answer
Who was harassing, intimidating, bullying, threatening or causing harm? *
Your answer
What is the offender(s) age or grade? *
Your answer
Additional Information (if any):
Your answer
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