Student Conflict Form/Formulario de conflicto para estudiantes

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This form was made for students to be able to communicate a conflict they are having with another student./ Este formulario se hizo para que los estudiantes puedan comunicar un conflicto que tienen con otro estudiante.

Email *

What is your name?/ ¿Cómo te llamas?

What grade are you in?/ ¿En qué grado estás?

Kindergarten

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

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What is your teacher's name?/ ¿Cómo se llama tu profesor?

Mrs. Schuldt

Mrs. Schafer

Mrs. Rao

Mrs. Wixom

Mrs. Rice

Mrs. Tindal

Mrs. Lemke

Mrs. Held

Mrs. Keating

Mr. McDonough

Mrs. Hinojos

Mr. Thom

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What is the name of the student or students you are having a conflict with?/ ¿Cómo se llama el estudiante o los estudiantes con los que tiene un conflicto?

Describe what the conflict is./ Describe cuál es el conflicto.

Have you reported this to an adult? If yes, then who?/ ¿Has denunciado esto a un adulto? En caso afirmativo, ¿a quién?

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This form was created inside of School District of Fort Atkinson.

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