2019-2020 Peer Mediation/Circle Request
Iao School has a Peer Restorative Practices Program that can help students problem-solve issues at school. Participation is voluntary, unless directed by Admin. Information will be kept private. Mrs. Van Kleef and her Peer Communication students would like to help Iao School be the BEST it can be.
Please complete this form and Mrs. Van Kleef will schedule the Peer Mediation, or Restorative Circle.
Email address *
Restorative Practice Type
How would you describe this issue:
If it is not listed, pick the closest to your choice, or describe it as OTHER. You may select more than one.
Your name (first and last) *
Your answer
People involved (first and last names would be helpful)
Your answer
Where did the conflict/disagreement occur?
Briefly describe the problem:
Your answer
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