What are you reporting?
Abuse at Home (or elsewhere)
Bullying (face to face, telecommunication, social media)
Concerns about a fellow student (self-harm, suicidal ideation, etc.)
Criminal activity (drugs, extortion, theft, vandalism, rape, etc.)
General threats to campus safety or the campus environment
Which school does the situation concern?
Carlisle High School
Chamberlain Middle School
Grigsby Intermediate School
Alden Brown Intermediate School
Do you want to be contacted?
Name of Person Reporting Bullying/Emergency * Not Required
Phone Number of Person Reporting Incident * Not Required
Email Address * Not Required
First and Last Name of person being Bullied/Victim ***Must have a name or it cannot be dealt with
First and Last Name of Person Making Threats/Bullying/ETC
Description of incident
NO ISSUE IS TOO SMALL
When did the incident occur? (Specific dates and times should be identified when and where possible.)
Where did the incident occurs? (Specific locations should be identified when and where possible. e.g. - "At Carlisle High School in the commons by the trophy case.")
Is there any evidence or witnesses?
Type of evidence and/or names of witnesses:
Do you want to be contacted immediately or once the investigation is complete? ** We cannot share details of investigation due to Ohio Law, but inform you that it has been dealt with.
I do not need to be contacted
Once the investigation is complete