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HIB -
Formulario de informe de incidentes
Acoso, Intimidación o Bullying
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* Indicates required question
Email
*
Your email
Persona que informa
Your answer
Estudiante objetivo
*
Your answer
¿A qué escuela asiste el estudiante objetivo?
*
Harrah Elementary School
Mount Adams Middle School
White Swan High School
Su dirección de correo electrónico (opcional):
Your answer
Tu número de casa (opcional)
Your answer
Fecha
*
MM
/
DD
/
YYYY
Nombre del adulto de la escuela con el que ya se comunicó (si corresponde)
*
Your answer
Nombre(s) del(los) agresor(es) (si se conoce)
*
Your answer
¿En qué fechas ocurrió el incidente (si se conoce)?
*
Your answer
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