Student Behavior Complaint Form
Submit form when finished. The investigation of this form will begin promptly. This matter will be handled as confidentially as possible.
Report made by and your relationship to the student (Type "anonymous" if you wish to remain anonymous)
What is the best way we can reach you. Please include a phone number or email (Type "anonymous" if you wish to remain anonymous)
Student Name
Student Grade
School
Clear selection
Date(s) of incident and specific location
Describe the situation that occurred. Please be as specific as possible.
List the names of those involved
List the names of witnesses
Describe the impact of what happened. In other words, how do you feel?
Submit
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