Speak Up Form Speak Up Form Please choose a school * TGU Towner TGU Granville Both TGU Schools Describe what happened/what is happening: * Where did it happen? * Before School During School After School Other When did it happen? * Classroom Gym Playground School Bus Online School Event Other Who is doing this? (If you do not know the name(s), please describe them): * Who is the victim? (If you do not know the name(s), please describe them): * Have you told anyone else about this problem? Parent/Guardian Babysitter Brother/Sister Other Family Member Teacher/Principal/School Staff Community Member Friend Other Has this ever happened before? Yes No Contact Information: Name Choose one: Student Parent/Guardian Community Member Staff Member What is the best way to contact you? Please list phone,e-mail, or other contact information below * Submit