Speak Up!
Thank you for speaking up!  PUSD strives to have a culture of positivity and inclusiveness and we can only do so with your help. Your report is anonymous (unless you choose to provide your name); however, any details you can provide will help us to address the problem and create a better school culture.
 
Kindly,
Dr. Cheryl Wozniak
Title IX Coordinator
510-594-2686
cwozniak@piedmont.k12.ca.us


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Please describe the incident. Provide any details you can about where it occurred and what happened (e.g. which classroom, sports team, event, etc.). Was this a one-time incident or a recurring situation? Are you aware of any adults who know about the event? *
Please provide the name of the person(s) causing the harm. This information is optional but very helpful in addressing the incident and conducting a fair investigation. All names will be protected with greatest degree of confidentiality possible.
Please provide the name of the person(s) being harmed. Again, this information is optional but will help the school provide support the person(s). All names will be protected with greatest degree of confidentiality possible.
Are there others who witnessed the incident that could be helpful? Again, this information is optional but helpful.
If you would be comfortable speaking with the administration confidentially and participating in the discussion, please provide your name here and the best way to reach you (email, text, phone).
How would you like to see this situation resolved? *
Please identify yourself as one of the following *
Name (optional, but encouraged so we can follow up and provide support)
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