East Elementary Bullying/Crisis Reporting
Students and parents can anonymously submit any suspicious activity, bullying or other student-related issues by using this form. We encourage all of our students and families that if you see something, say something. You have the option of including your contact information or reporting anonymously. Once submitted, an administrator will be notified and begin an investigation of your issue. If you have immediate concerns or are in danger, call your local law enforcement or 911.
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Date(s) of Incident: *
MM
/
DD
/
YYYY
Your Name: (Optional)
Contact Information - Phone or Email (Optional)
I would like to remain anonymous. *
Name of Victim: *
Name of Alleged Bully: *
Location of Incident (what part of the building): *
Time of Incident: *
Time
:
Witnessees: (if any)
Description: *
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