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Report It!



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1. Contact Information (Optional - you may skip to step 2)

Last Name:
First Name:
Telephone:  
School I attend (if applicable):  
E-Mail Address:  

2. Victim type:

Crime is against a Student   Staff Member

3. Specific Type

Assault
Gang Activity
Drugs
Abuse/Bullying
Harassment
Weapon in School (Specify)  Gun  Knife  Other
Other  (Specify)  

4. Date and Location of Incident

This event will occur in the future   occurred in the past
Date:      Time:  
School:     Location in School:  

5.  Who was involved :

Suspect:  
Victim:  

6.  Please provide a short description of the incident:

7. May we contact you for additional information?

No   Yes


 

 

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Dwight Public Schools 801 S. Franklin St. Dwight, IL  60420

815-584-6219 Fax: 815-584-2950

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