Safe Report

Please complete this form for any safety issue or concern. Please indicate which school you attend and the administrators at that site will be emailed when your form is submitted.

This is a threat that needs immediate district-level attention.

You must include your name and school below, and any other information that will help us investigate the threat. You may also call 911 for immediate assistance.

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First Name: *

Last Name: *

What school do you attend? *

What grade are you in? *

* Required

Are you a student or a parent?

Student Parent

What happened? *

Who else saw this happen?

When did this happen? *

Today Yesterday Last week Other

Where did this happen? *

Before School After school During Class During Lunch/Recess Between Classes Social Media Other

Upload any screenshots here.

Are you afraid for your safety? *

No. I wanted you to know that this happened. Yes. I fear that this person will do something else today.

The Dysart Unified School District does not discriminate on the basis of race, color, national origin, sex, disability, religion, or age in its programs or activities. For information regarding discrimination grievance or complaint procedures contact the Assistant Superintendent for Human Relations at 623.876.7000.

The Dysart Governing Board is committed to enforcing protections to prohibit retaliation against any individual who comes forward in good faith with complaints or concerns about conduct under this policy or who otherwise participates in any proceeding or investigation resulting from a complaint filed.

STUDENT AND STAFF DATA PRIVACY PROVISIONS: The information provided will not be utilized or shared in any other form than for the purpose for which it was collected. The information will be held in a secure system, in compliance with local, state, and federal laws. Identifiable student and staff data should not be printed and should be treated confidentially and with the utmost care and respect. By accessing this data, you are ensuring all appropriate technical and organizational measures are in place to prevent unauthorized access, processing, use, modification, and disclosure.

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