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School Safety Report Form

In keeping with our commitment to prioritize the safety and security of all NYOS community members, NYOS is providing the following form to allow for easy reporting of incidents and concerns regarding students or other members of our community. If you know of a student who is experiencing bullying, cyberbullying, or other crisis, please fill out the form so administrators can take steps to insure our students are provided the safest learning environment possible. Reports may remain anonymous and do not have to specifically involve bullying.

For more information and resources please see the following link: https://www.davidslegacy.org/resources/

You are not required to provide your personal information. Please note: our ability to follow up with questions may be helpful in resolving issues and may help to expedite interventions for those involved. If you choose to provide your contact information, it will be kept confidential by school administration to the best of our ability.
Subject
I am concerned about (insert name): (Required)
Who is a: (Required)
Because of: (Required)
If you selected other, please describe other:
Please describe the incident or incidents. Please make sure to include dates and times, witnesses, and other persons involved in the incident if applicable: (Required)
You may upload screenshots, pictures, or a short video of the incident at https://www.filedropper.com/. Please then provide us with a link in this text box so that we can access the uploaded files:
Your Name (Optional):
Contact Email (Optional):
Contact Phone (Optional):
Please select "Yes" to confirm the following statement: I certify that all statements made in the complaint are true and complete. (Required)
Email (Optional)
If provided, your email address will be made anonymous and encrypted in our system. The recipient of your message will be able to reply directly to you, but they won't be able to see your email address. Learn more about how we protect your privacy and anonymity.

Is This Really Anonymous?

Yes!

Suggestion Ox is a web service for people or companies to solicit private, anonymous feedback. Your submission here is 100% private and confidential.

If you would like to learn more about how we keep your responses anonymous, please read all about Suggestion Ox and privacy.