Please remember that this Bully/Safety Report does not replace the importance of utilizing 911, nor does it replace the healthy and open communication that parents and students have with reporting concerns to teachers, principals, and other school staff or parents. If this is an emergency, please dial 911.
Please Note: All fields marked with a * must be filled in and be valid in order to submit.Which campus does this involve?*:
What are you reporting:*
I am a:*
Approximate Date & Time of Occurrence:*
(Note: If this is an ongoing occurrence or you are unsure of the exact date, simply choose today’s date and make note of this in your description below.)
Location of Occurence (Ex: LWC Library, LWE Field House, LWW C-Hallway):*
Description of incident/activity or concern:*
Did you witness the event?* Yes No
List any other witnesses to the event (optional):
How many times are you aware of this situation occurring?*
Have you reported this incident to an adult?* Yes No
Name and/or description of alleged offender:*
If you are willing to answer additional questions about this even, please include email or phone number here (optional):
Copy the digits from the image into this box.