KPR Report IT!

Any student attending a KPR school

Any parent/guardian of a student attending a KPR school

Teacher, Educational Assistant, Early Childhood Educator, Administrative Staff, Contract Employee (Non-teacher), Other staff

Volunteers, community members

My Preferred Email for Contact *

I am a student attending *

Alcohol/Drugs/Cannabis

Bullying/Cyber Bullying

Complaint about board/school/staff

Smoking/Vaping on premises

Date/time/location of Incident you are reporting on

Who has already been told about the incident or issue that you are reporting about? * (please select all that apply)

No one

Parent/Guardian

Administrator (Principal/Vice-Principal)

Teacher

Friend

School Guidance Counselor

External Counselor

Police

Disclaimer: In order for our team to move forward with the next best steps, we will need to contact you directly via email to ask for your consent. When the Report IT! team contacts you, they may send you a few follow up questions, and/or ask for your permission for the handover to the Superintendent that falls within the role of this jurisdiction.

Would you like to be contacted so you can provide additional information?

Yes; I would like to be contacted

No; I would prefer not to be contacted at this time

Parent/Guardian

Any parent/guardian of a student attending a KPR school

I am a the parent/guardian of a student who attends *

and is in grade *

Student's Full Name *

My Preferred Email for Contact *

My First Name *

My Last Name *

My Preferred Name

My Preferred Pronoun *

What best describes your reason for making this report *

Date of alleged incident/issue *

Description of where (location) incident occurred *

Please provide a brief summary of your issue/concerns

Please provide details on any steps (prior or ongoing) that you have taken to address the student's issue/concerns with the school administration *

Please provide name(s) of the other party(ies) involved in the student's issue/concerns

Please provide the names of other individuals at KPR who have knowledge of the student's issue/concerns (or who have discussed the matter) *

By submitting this completed form, I acknowledge that this information will be maintained in strict confidentiality in accordance with Commissioner's Office of Human Rights, Equity & Accessibility (COHREA). If, for any reason, you have not heard from the COHREA after submitting this form, please email report_it@kprdsb.ca.

Alternative Format Requests

Please contact us if you require the KPR Report IT! reporting form in an alternative format or need assistance completing the form.

Staff

Teacher, Educational Assistant, Early Childhood Educator, Administrative Staff, Contract Employee (Non-teacher), Other staff

Note: Please be advised if your matter pertains to a workplace incident or injury, near miss or Non-Violent Physical Crisis Intervention and you are seeking to submit a report. We strongly advise you to do so by accessing the "Incident and Health & Safety Reporting Portal" by launching it from the KPR on the Web.

Due to strict confidentiality governing the COHREA, we are unable to enter or forward incident reports to relevant parties on your behalf.

I am a *

First Name *

Last Name *

Preferred Name

My Preferred Email for Contact *

Preferred Pronoun *

Union/Association Affiliation *

What best describes your reason for making this report *

Date of alleged incident/issue *

Description of where (location) incident occurred *

Please provide a brief summary of your issue/concerns

Please provide details on any steps (prior or ongoing) that you have taken to address your issue/concerns *

Please provide name(s) of the other party(ies) involved in your issue/concerns *

Please provide the names of other individuals at KPR who have knowledge of your issue/concerns

Alternative Format Requests

Please contact us if you require the KPR Report IT! reporting form in an alternative format or need assistance completing the form.

Other

Volunteers, community members

I am a *

Other

First Name *

Last Name *

Preferred Name

My Preferred Email for Contact *

Preferred Pronoun *

What best describes your reason for making this report *

Date of alleged incident/issue *

Description of where (location) incident occurred *

Please provide a brief summary of your issue/concerns

Please provide details on any steps (prior or ongoing) that you have taken to address your issue/concerns *

Please provide name(s) of the other party(ies) involved in your issue/concerns

Is there any other area at KPR that has reviewed your issue/concerns? *

Yes

Not Sure

How did you learn about using the confidential online KPR Report IT! Tool? *

From my review of the KPR website

Referred by Union

Referred by a Trustee

Referred by Principal

Referred by Superintendent

Word of mouth from a friend

Other

Alternative Format Requests

Please contact us if you require the KPR Report IT! reporting form in an alternative format or need assistance completing the form.