Report a Safety Concern

This form is not for emergencies that require immediate attention. If you believe that this is a true emergency, please call (812) 926-2090 ext. 7 to reach our Superintendent's office or dial 9-1-1. Reports are taken very seriously and, if applicable, law enforcement may be involved. All information will be viewed by the administration of the school district.

Select an option:(*required)

Share my name with school administrators and law enforcement (optional)
Anonymous (Choose if you do not want to give your contact information)

Invalid Input

Your Name:

Please let us know your name.

Your Phone:

Invalid Input

Your Email:

Please let us know your email address.

How would you describe yourself?(*required)

Invalid Input

Please select the school related to this concern(*required)

Invalid Input

Approximate date of the incident:(*required)

Invalid Input

Approximate time(*required)

AM (Morning) PM (Afternoon)

Invalid Input

When?(*required)

Invalid Input

Where?(*required)

Invalid Input

List the Bus # and Driver (if known)

Invalid Input

List the class name, period and teacher (if known)

Invalid Input

List the School Event (if known)

Invalid Input

Explain Other:

Invalid Input

Has this happened before?

No Yes Invalid Input

Have you already reported this incident; if so, to whom and when?

Invalid Input

Please list the first and last name of the suspect(s) or aggressor(s):(*required)

Invalid Input

List the first and last name of any victim(s):

Invalid Input

Who witnessed or saw the incident? (List first and last name)

Invalid Input

Please give as many details as possible regarding your safety concern:(*required)

Please let us know your message.

Human Verification(*required)

Invalid Input

Report a safety concern