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RMS Student Report
Please complete the form below to file a report with the Main Office.
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* Indicates required question
Your Name (First and Last)
*
Your answer
Your Grade
*
7th
8th
Are you reporting a person?
*
Yes
No
Person you are reporting
Your answer
Class hour that this situation happened
*
Choose
Before School
1st
2nd
3rd
4th
5th
Lunch
6th
7th
After School
Were you directly involved?
*
Yes
No
Has this happened more than once?
*
Yes
No
Please select the following that apply to this situation:
*
Teasing/Bullying
Verbal Argument
Gossip/Rumors
Social Media
Stealing
Fighting/Physical Contact/Recording a Fight
Suspected Drug/Alcohol Usage
Smoking/Vaping
Injury
Other:
Required
Have you told any other adults? Please check all that apply:
*
Teacher
Counselor
Administrator
Parent
Friend
No
Other:
Required
Are there any witnesses that could provide additional information?
*
Yes
No
Please list the names of the students or staff that were witnesses:
Your answer
Please explain everything that happened. Be detailed about the situation (where, when, etc.)
*
Your answer
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