Incident Report Form

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This report will be read by the SVMS administration and counselors. You can remain anonymous if you prefer, but identifying yourself for further questioning often results in a better outcome. Your email address will not be recorded. Please put as many details about the situation as you can

Email Address

Your First and Last Name

Are you a: *

Current student at SVMS

Former student at SVMS

Parent of current SVMS student

Community member

Other:

What type of incident is this? *

Bullying / Harassment / Discrimination

Property/Vandalism

Academic Cheating

Physical violence / assault / fight

Student in crisis / depression / mental health

Drug use / abuse / distribution

Other:

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