Bullying/Safety Concerns Reporting
This form provides students and parents with an option to anonymously report bullying and/or other safety concerns within their school. Please include as much detailed information as possible because doing so will greatly assist administrators in investigating and addressing the concern(s). When information is shared, it enables administrators to take action to keep our students safe. All tips are anonymous unless you choose to identify yourself. Please include as much detailed information as possible.
What would you like to report? (What happened, what did you see or hear firsthand?) *
Your answer
Who was involved? *
Your answer
Where did this happen? (be as specific as possible (ex. classroom, bus, playground, school, hallway) *
Your answer
Who was nearby that may have seen or heard this?
Your answer
Date of incident: *
MM
/
DD
/
YYYY
Time of incident:
Time
:
Name of person reporting information (optional):
Your answer
Choose Your School: *
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