I AM WE Reporting Form

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Use this form to anonymously report any concern (s) and information you have about yourself or other students at CHS. For example, you or the other student(s) might be harassed, bullied, using drugs, using alcohol, feeling depressed, talking of harming themselves, wanting to fight another student, not fitting in, or having trouble at home.

What student(s) are you concerned for and have information about?

Please list student(s) and grade if you know. Do not worry about spelling.

Please give detailed description of concern (s) and information you have.

Be as detailed as possible.

When did you become concerned or get the information? Has it been ongoing? If so, for how long?

Please include date(s) and time(s)

Submit

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This form was created inside of Lexington/Richland School Dist. 5. Report Abuse

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