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)
Your answer
What is the best way we can reach you. Please include a phone number or email (Type "anonymous" if you wish to remain anonymous)
Your answer
Student Name
Your answer
Student Grade
Your answer
School
Date(s) of incident and specific location
Your answer
Describe the situation that occurred. Please be as specific as possible.
Your answer
List the names of those involved
Your answer
List the names of witnesses
Your answer
Describe the impact of what happened. In other words, how do you feel?
Your answer
Submit
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