C.S.S. Student Harassment Report -

(this form is for STAFF use)


This form is to be used by STAFF members. For the student form, click here.

You may print this form and drop it in the anonymous box in the guidance office at the school, or email it directly to the Principal or Vice-Principal.

 

Date: ____________________ Victim's Name: ______________________________

Details of Incident: ____________________________________________________

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

Reported By:________________________________________________________

Offender(s): ________________________________________________________

_________________________________________________________________

_________________________________________________________________

Witness(es): _______________________________________________________

_________________________________________________________________

 

If you are a student, click here for the relevant reporting form.

Page last updated: September 25, 2006 2:24 PM by S. Robertson-Little