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Student to Student
Student to Staff
Staff to Student
Staff to Staff
Option 5
Option 6
Option 7
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1.
Student
2.
Parent
3.
Staff
4.
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Teacher
Administrator
Friend
Parent
Other Adult
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1.
Age
2.
Color
3.
Creed
4.
National Origin
5.
Race
6.
Marital Status
7.
Sex
8.
Sexual Orientation
9.
Gender Identity
10.
Physical Attributes
11.
Physcial or Mental Ability or Disability
12.
Ancestry
13.
Political Party Preference
14.
Political Belief
15.
Socioeconomic Status
16.
Other
17.
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Date of Incident
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Untitled Title
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Noah Manegold
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I am a... Gunners mom
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Complainant(s) *
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Who are witnesses to the incident?
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Who have you reported this incident to?
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Description of Incident
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This incident was based on discriminatory, bullying, or harassing behavior in the category listed below: *
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Staci Anderson
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Contact Information
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12
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