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Trevino JH See Something, Say Something Reporting Form

Please complete the form below. Required fields marked with an asterisk *

This system is only used to notify Trevino Junior High School administration. You may also go directly to any school official (teacher, counselor, principal, etc.) to get help. This system is monitored throughout the academic school year. Any reports made during holidays or outside of the academic school year will be responded to in a timely manner. Please complete the form below. Required items are marked with an asterisk *.

Event Description: (Including... Who, What, When, Where and How Do You Know)*

Be specific and include the date, time, location, and persons involved.

Answer required for "Event Description: (Including... Who, What, When, Where and How Do You Know)"

Contact Information

First Name

Answer required for "First Name"

Last Name

Answer required for "Last Name"

Answer required for "Email"

Mobile Phone

Number Required

Home Phone

Number Required

What date & time did the incident occur or what date & time will the incident occur?*

Answer required for "What date & time did the incident occur or what date & time will the incident occur?"

First Name*

Answer required for "First Name"

Last Name*

Answer required for "Last Name"

Nickname*

Answer required for "Nickname"

Grade Level/Age*

Answer required for "Grade Level/Age"

Any Other Information That Would Be Helpful to Investigate this Incident/Concern

Answer required for "Any Other Information That Would Be Helpful to Investigate this Incident/Concern"

You can upload any files that may be evidence or may provide more specific information to this report.

Answer required for "You can upload any files that may be evidence or may provide more specific information to this report."

Choose a file or drag it here.

NOTE: If you provide your name and/or contact information, you acknowledge that it will be provided to assist in resolving the concern or threat you are reporting. If you deliberately provide false information or use this system to threaten or harass someone, you may be subject to criminal prosecution.

Confirmation Email

Answer required for "Confirmation Email"