Safe Reporting Form

Please use this form to report any incidents that you have witnessed or been made aware of.

Please indicate when this occurred

During school hours Outside of school hours Both (i.e. it’s happening at school and out of school)

Please give an approximate date and time

If you know please write the exact location below

Think about what happened, where it happened, when it happened and who was involved.

Please indicate which preference you have below

I wish to remain anonymous I am happy to speak to someone from school about this report

Please list your name and contact phone number – note if you are a student, you are welcome to put your parents details in this section and we can meet together or phone you to discuss your report.

What would you like to see happen as a result of reporting this issue?