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Student Concern Report
Your information will be kept private between you and school guidance/administration. Depending on what is shared, we may need more information and need to speak with you for more details.
Email address *
Name *
Your answer
Name of student(s) you are concerned about *
Your answer
Type of concern *
Provide important details (State what YOU heard or witnessed) *
Examples include date, time, location, and any other relevant information
Your answer
Are there any other students who could confirm what you shared or add valuable information? (Include first and last names)
Your answer
A copy of your responses will be emailed to the address you provided.
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