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RFHS Anonymous Reporting Form

NOTE: Information included in this form goes privately to the Campus Critical Incidence Response Coordinator. All submissions are reviewed and investigated.  

The following form collects information on incidences of bullying, threats to the campus, sexual assault, sexual harassment, dating/domestic violence, or stalking.  If you wish to report something not covered by these topics you may do so in the narrative section

If you would like to speak privately to someone, please call (361) 790-2220.

If this is an emergency situation, please ensure the safety of affected individuals before completing this form.  

Affiliation with the incident*
Answer Required
Type of Incident(s)*
Answer Required
Have you reported this incident to anyone else at RFHS before today?*
Answer Required

The following questions ask about the incident(s) that you are reporting.  If any of the information is unknown, please leave the question blank.  Be as detailed as possible.

Victim's Gender
Answer Required
Victim's Affiliation with RFHS
Answer Required
Alleged Perpetrator's Gender
Answer Required
Alleged Perpetrator's Affiliation with RFHS
Answer Required
Do you wish for a RFHS counselor to contact you or the victim?
Answer Required