Valencia High School
Bullying / Safe School Report Form

Valencia High School is committed to providing a positive learning environment for all students. Unsafe items, harassment, threats, hazing, and any type of bullying will not be tolerated. Your help in keeping VHS safe is appreciated.

False reports are taken seriously and will be investigated thoroughly!
Please fill out the form within 30 minutes of loading the form since there is a 30 minute time on the page. If the page "times out" just reload it.
The fields marked * are required.

Report Form
Student School ID # OPTIONAL Inlcude all 0's[zeros] in the ID number
*Date of Incident
*Time of Incident
*Location of Incident
*Students Involved
*Witnesses Put none if there were no witnesses
*Description of Incident