Incident/Harassment Report Form

 
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  This form is designed to allow students to submit details about incidents that have occurred during the school day that are interfering with their educational progress.

This form can be used to report: lost or stolen items; witness to bullying/harassment; witness to a crime; concerns about a classmate and/or friend; as well as other incidents.

We are hoping that more students will feel comfortable completing this form if they can do so outside of our offices.

You may fill this out anonymously or with your name. All reports received are taken seriously, are confidential and will be followed-up on.
   
 
 
   
 
 
   
 
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Please be speciic with names, dates, grades, and events
 
   
 
Please indicate name(s) and grade(s)
 
   
 
 
   
 
 
    
   
 
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