Date of incident:
*
*
Time of incident:
*
School:
All Saints CES
Blessed Chiara Badano CES
Blessed Trinity CES
Canadian Martyrs CES
Cardinal Carter CHS
Christ The King CES
ConED After School Program
ConEd Elearn Summer
Continuing Education Summer Program
Corpus Christi CES
Divine Mercy CES
Father Bressani CHS
Fr Frederick McGinn CES
Fr Henri Nouwen CES
Fr John Kelly CES
Fr Michael McGivney Academy
Good Shepherd CES
Guardian Angels CES
Holy Cross Catholic Academy
Holy Family CES
Holy Jubilee CES
Holy Name CES
Holy Spirit CES
Immaculate Conception CES
Light Of Christ CES
Notre Dame CES
Our Lady Help Of Christians CES
Our Lady Of Fatima CES
Our Lady Of Good Counsel CES
Our Lady Of Grace CES
Our Lady Of Hope CES
Our Lady Of Peace CES
Our Lady Of The Annunciation CES
Our Lady Of The Lake Catholic Academy
Our Lady of the Lake Catholic Academy ES
Our Lady Of The Rosary CES
Our Lady Queen of the World
Pope Francis CES
Prince Of Peace CES
Sacred Heart CHS
San Lorenzo Ruiz CES
San Marco CES
Sir Richard W. Scott CES
St Agnes Of Assisi CES
St Andrew CES
St Angela Merici CES
St Anne CES
St Anthony CES
St Augustine CHS
St Benedict CES
St Bernadette CES
St Brendan CES
St Brigid CES
St Brother André CHS
St Catherine Of Siena CES
St Cecilia CES
St Charles Garnier CES
St Clare CES
St Clement CES
St David CES
St Edward CES
St Elizabeth CHS
St Elizabeth Seton CES
St Emily CES
St Francis Of Assisi CES
St Francis Xavier CES
St Gabriel the Archangel CES
St Giovanni Battista Scalabrini CES
St Gregory the Great Academy
St James CES
St Jean De Brebeuf CHS
St Jerome CES
St Joan Of Arc CHS
St John Bosco CES
St John Chrysostom CES
St John Paul II CES
St John XXIII CES
St Joseph CES - Aurora
St Joseph CES - Markham
St Joseph CES - RH
St Joseph the Worker CES
St Julia Billiart CES
St Justin Martyr CES
St Kateri Tekakwitha CES
St Katharine Drexel CES
St Katharine Drexel CHS
St Luke Catholic Learning Centre
St Margaret Mary CES
St Marguerite d'Youville CES
St Mark CES
St Mary CES
St Mary Immaculate CES
St Mary of the Angels CES
St Matthew CES
St Maximilian Kolbe CHS
St Michael Academy
St Michael the Archangel
St Monica CES
St Mother Teresa CES
St Nicholas CES
St Padre Pio CES
St Patrick CES - Markham
St Patrick CES - Schomberg
St Paul CES
St Peter CES
St Raphael the Archangel CES
St Rene Goupil CES
St Robert CHS
St Stephen CES
St Teresa of Calcutta CES
St Teresa of Calcutta CHS
St Theresa Of Lisieux CHS
St Thomas Aquinas CES
St Veronica CES
St Vincent De Paul CES
*
Student(s) involved in the incident (Names, nicknames, or description, include grade):
*
Full Name
Nickname
Grade
Role in the Incident
JK
SK
1
2
3
4
5
6
7
8
9
10
11
12
N/A
Location of incident:
*
Description of incident:
*
How Do You Know?
Witnessed
Participated
Heard from someone else
*
Who has already been told about this (please select all that apply):
*
No one
Parent/Guardian
Teacher
Friend
School Counselor
External Counselor
Police
Do you wish to be Contacted:
Yes, Please feel free to contact me
No, I would prefer that you do not contact me
*
Please note:
Although your name may not be included on the form it is possible from the incident details that the school staff may determine who submitted the form. It is possible that they may approach you directly to offer assistance and/or collect more information. We may need to contact you, even if you would prefer that we did not, so that we can clarify your report in order to respond to it.