Cedars International Academy Schools Incident Report

Texas Education Code 37.220 (b)(3) requires a school district to have an anonymous reporting system to report dangerous, violent, or unlawful activity that occurs or is threatened to occur on school property or that relates to a student or school personnel.

Date of incident*

Answer Required

Time of incident*

Answer Required

Exact location of incident*

Answer Required

Who has been notified?

Answer Required

Police

Fire Department

Parent / Guardian

Staff / Administration

Who was involved?

Person 1 name

Answer Required

Person 1 contact

Answer Required

Person 2 name

Answer Required

Person 2 contact

Answer Required

Person 3 name

Answer Required

Person 3 contact

Answer Required

Person 4 Name

Answer Required

Person 4 contact

Answer Required

Please provide all details regarding the alleged incident, including any information that could be valuable in the evaluation of this situation. Please take your time and provide as much detail as possible, but exercise care to not provide details that may reveal your identity unless you wish to do so.*

Answer Required

Please fix the highlighted areas below before submitting.

Cedars International Academy Schools Incident Report