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Your role in the school community *
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Your email address
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Your phone number
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Name of target *
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Name of alleged offender *
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What was your involvement in the incident? *
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Which school does the alleged offender attend *
Where did the incident happen? *
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Type of Incident *
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Description of incident(s) *
Describe the specific nature of the incident. What happened? Be as specific as possible. What did the alleged offender say or do?
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Witnesses and contact information
Witnesses, if any, or others who should be contacted with knowledge vital to this investigation. Please include contact information (e.g. phone number) if possible.
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Types of bias involved (if known)
Impact *
Describe the impact this incident has had on the target
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Is the situation still occurring? *
What do you think should be done in this situation? *
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