School Safety Reporting Form

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In the School District of Howards Grove providing a safe, secure, and respectful learning environment for all is of the utmost importance to us. This includes when students are in our schools, on school grounds, on school buses/vehicles, and at all school-related activities. This reporting tool helps to ensure the safety and security of students and provide assistance and support to those who need it.

Please use the Safety Reporting Form to report the following:

- Concerning warning signs and/or threats
- Illegal and/or dangerous items
- Concerns about bullying, intimidation
- Self-harm, or suicide
- Concerns about mental health
- Any other concerns regarding the safety of our students

We encourage students, parents and community members to partner with us to keep our schools safe. If you see or hear something please say something.

This form is anonymous (unless you choose to leave your name) and will be shared with appropriate administrative school members for further action.

This is a serious communication tool: there may be consequences for intentionally sharing a false information.

NOTE: This site is not monitored 24/7 and should not be used for reporting emergencies/matters requiring immediate attention. For a site that is monitored through the State of Wisconsin, please use the Speak Up, Speak Out Link to report your concern.

If you need to report an emergency or require immediate attention, please call 911.

As always, please feel free to reach out to our staff directly by email or phone.

Thank you for doing your part in keeping our schools and community safe for our students!

I am a concerned: *

Student

Parent/Guardian

Community Member

Staff Member

If known, name of person(s) causing harm or potentially causing harm:

If known, name of person(s) being harmed or in danger of being harmed:

Please describe the situation/incident of concern. Please use as much detail as possible.
*

Which school does this pertain to?
*

Northview

Middle School

High School

Not Sure

Date(s) of incident(s) if known:

Location of incident(s) if known:(hallway, cafeteria, playground, etc.)

This situation is a: *

One time incident

Recurring incident

I am not sure if this is a one time incident or recurring situation.

Are there any witnesses or others who may have knowledge of this situation?

I will include my name: (Optional)

I will include my email in case you need to contact me:(Optional)

I want someone to follow up with me.*
*

Yes

If you want someone to follow up, how should we contact you?

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