Inform Us! Boone Community Reporting Form 2020-2021
Your voice matters at Boone.
Please share celebrations, concerns, or growth areas you have experienced. As we continually strive for equity, we rely on your partnership to strengthen our Boone community. This form will serve as an opportunity for students and community members to share information that needs follow-up, further investigation, or recognition. Students can use this form to report bullying or social media concerns.
For your reference-Teaching Tolerance Social Justice Standards:
https://www.tolerance.org/sites/default/files/2017-06/TT_Social_Justice_Standards_0.pdf
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Your Name (You may submit this form anonymously; however, please note we won't be able to follow up with you then.)
Your answer
Email address (optional)
Your answer
Check all that apply
Community Member
Parent/Guardian
CPS staff
Boone student
Other:
Explain the behaviors that you observed and/or are concerning to you.
*
Your answer
Please share when these behaviors are taking place/or have taken place
*
During School Hours
Outside of School Hours
Both during and outside of school hours
Please indicate where this behavior occurred
In the school building
Boone Playground
Outside and within Boone school grounds
Boone neighborhood
Digital Platforms (examples: email, text, social media)
Other:
Clear selection
If you selected yes above for digital platforms, please note specific platform
CPS Email
Personal Email
Text
Phone Call
Facebook
Twitter
Instagram
Snapchat
TikTok
Other:
Please provide dates and time of when the behaviors happened (optional).
Your answer
Please share if any harm has been caused to you.
Yes
No
Other:
Clear selection
If yes, how would you like the harm to be repaired?
Your answer
Please list individuals that may have been impacted.
Your answer
I have shared this information with the following individuals.
Parent/Guardian
Sibling
Peers/Classmates/Boone students
Friends
Community Members
Boone Staff (Teacher, SECA, TA, Security, Office staff, etc)
Boone Administration
Police
Counselor
I have not shared this information with anyone.
Other:
Provide any additional information or comments here.
Your answer
(Optional) Please provide follow-up contact information.
Your answer
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