This education template includes 8 fields. Allow students, staff, or parents to anonymously or identified report safety concerns on campus. Free to customize and use on ZenBuild.
Report Type (multiple choice, required) — options: Anonymous, Identified
Name (if identified) (text, optional)
Email (if identified) (email, optional)
Nature of Concern (dropdown selection, required) — options: Physical safety hazard, Bullying/harassment, Threat of violence, Suspicious person or activity, Drug/alcohol concern, Cyberbullying, Unsafe facility condition, Other
Location of Concern (text, required)
Date / Time Observed (text, required)
Please describe the concern in detail (long text, required)
Is this an immediate emergency? (multiple choice, required) — options: Yes - contact 911 immediately, No
