University School Anonymous Reporting
This form allows you to report anything related to our school, students and staff anonymously.  We appreciate if you will give us your name and contact information so we can contact you for more information, but it is not required.  Once you submit the form, Dr. Partin and Dr. Day will review your report within a day.  If you are reporting something that requires immediate intervention, please contact ETSU Public Safety (423-439-4480) or 911.
Sign in to Google to save your progress. Learn more
Please describe your concern as detailed as possible.  Include: names, dates, locations, witnesses, links to web sites, and any other information. *
Rate the level of urgency of your report:
If you select IMMINENT DANGER, please also contact ETSU Public Safety (423) 439-4480 or 911 for faster intervention.
Clear selection
Your Name: (optional)
Your Email address: (optional)
Your Phone number: (optional)
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of East Tennessee State University. Report Abuse
Google Forms