Fox Point- Bayside District Anonymous Safety Report Form: Fox Point- Bayside District Anonymous Safety Report Form The Fox Point- Bayside School District strives to provide a safe, secure, and respectful learning environment for all students. This learning environment encompasses our schools buildings, school grounds, school buses/vehicles, and all school-related activities. We believe that a safe, secure, and respectful learning environment allows all students to benefit the most from the educational opportunities offered in our district. This anonymous reporting tool was created to promote the safety and security of our students. Submitting this form forwards the information to a school administrator. This communication allows the appropriate school administrator to address concerns by providing assistance to those in need and taking any other actions the situation may deem necessary. Use this form to report the following: Warning signs, signals, and/or threats that concern you Illegal and/or dangerous items and/or actions Concerns about bullying Concerns about suicide Concerns about mental health issues Any other concerns regarding the safety of our students We encourage students, parents, and community members to be partners in keeping our schools safe. If you see or hear of something that threatens the safety of our schools or our students, please say or write something. This report remains anonymous unless you choose to leave your name. This is an important and serious communication tool. Please note: There may be consequences for intentionally filing a false report. Thank you for doing your part in keeping our schools and community safe for our students. 1. * I am a concerned: I am a concerned: Student Parent/Guardian Community Member 2. * Name of person(s) that is/are CAUSING the harm or worry: 3. * Name of person(s) that is/are BEING HARMED or in danger of BEING HARMED: 4. * Please describe the details of what you know. Stay as factual as possible and if you are reporting a rumor or speculation, please state that. 5. * Name of person(s) that may have witnessed this happening or have knowledge of the situation: 6. Date of Incident (if known): 7. Time of incident or period of school day (if known): 8. Location of incident (if known): 9. * This situation is a: This situation is a: One time incident This has happened more than once Optional: Person Reporting Contact Information Please fill out the following information if you would like to share your name, phone, and email for potential follow-up contact regarding this safety report form. This is optional, you are not required to complete this section to submit the safety report. 10. I will include my name (optional): 11. I will include my email (optional) in case you need to contact me. 12. I will include my phone number (optional) in case you need to contact me. I am not a Robot District Policies: Po5517.01 - Bullying Po5517 - Student Anti-Harassment
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