Student Incident Report - Elementary / Middle School - Swea City Campus
Please fill this form out with as much detail as possible. This report will be handled by an administrator or counselor.
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Your Name *
What School do you attend? *
What is your role in the School? *
Name(s) of Student(s) involved in the Incident: *
Date, Time and Place of the Incident: *
Describe what happened in Detail: *
Name(s) of Witness(es):
If there is documentation/evidence of the Incident, what is it?
Any other relevant information:
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