Student Concern Report
FMS is a school of students and staff that care deeply about one another and want to help each other succeed. As part of this effort, we have created this form to report concerns that a student, staff, or community member may have about an FMS student.

This form will be sent to the Counselors at Foothills Middle School.

FMS Staff: Please include YOUR email in the first question.
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YOUR Name *
Student First Name *
Student Last Name *
Grade Level *
Is it okay to use your name when sharing your concerns with this person? *
Primary Concern *
Please share any additional information about your concern as completely as possible. *
Please leave a contact number if you are comfortable. We may call if more information is needed.
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