Van Buren Elementary School: Student Concern Form
This form is designed to provide students and community members an opportunity to report specific concerns, about students, to our administrators.
Date of Report
Name of Person Submitting the Report (optional)
Please provide the name(s) of all persons (including yourself, if applicable) who are part of your concern/report.
Please describe your concern.
When and where did this take place? Please indicate date, time and location.
Were you a witness to your concern?
Please provide the names of any other individuals we should speak with regarding this report.
By selecting "yes," I hereby confirm that I am truthfully reporting this incident and that my report contains no false allegations.
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