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Student Wellness & Safety Form
Thank you for keeping students and our school safe. We wish for all students to have a positive, healthy and flourishing experience at school. An administrator will follow up within 48 hours to your report or request.
Please share your name.
Please check the box below to indicate all feedback shared is truthful and that you understand disciplinary action will be taken if this form is misused.
Yes, I understand.
What area of concern are you reporting?
What concern or need are you reporting?
If applicable, where did the area of concern occur?
Were others involved in the area of concern? If so, whom?
Have your reported this concern to anyone else?
Send me a copy of my responses.
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