HTS Safe Environment Form
This form is to be used by HTS students who have identified hurtful behaviors. This is an anonymous report, unless you choose to give your name. An Administrator will review this form and will begin action to resolve the issue addressed.
Sign in to Google to save your progress. Learn more
Who is being hurt or being made to feel uncomfortable? *
Who is doing the hurting or making someone uncomfortable? *
When did the incident happen (begin)?
MM
/
DD
/
YYYY
Where did the incident happen (begin)? *
What happened? Please describe the incident with specific details. *
Why do you think this incident happened? *
Who witnessed the event and what did they do during the incident? *
What do you recommend Administration do to help resolve the problem? *
Do you want Administration to talk to you? *
If you would like someone to talk to you, please give your name and grade.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Holy Trinity Catholic School. Report Abuse
Google Forms