CARE Statement Form
Complete this form for you student statements
Email address *
Name *
Your answer
Today's date: *
MM
/
DD
/
YYYY
Time: *
Time
:
Administrator Working With *
What occured? *
Your answer
Where did this occur? *
Your answer
What specifically was said? *
Your answer
What part of the issue can you take RESPONSIBILITY for, if any? *
Your answer
What do you think the next steps should be? *
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Nelson County Schools. Report Abuse - Terms of Service