Bully Prevention Survey Permission Form
Custer County Schools has been awarded a Bully Prevention Grant from the Colorado Department of Education for the 2019-2020 school year. This grant will provide the funds for the school district to address bullying in our schools over the next three years through curriculum and data collection.

As part of the grant, we will be giving a survey to students between now and May 1, 2019 so that we can have baseline data of bullying in our schools. This survey is an OPT-IN survey. This means that in order for students to complete these questions, we must have parent permission. Please select an option at the bottom of the page and return this form to the school with the names of your children. You only need to complete one form per household.

Please list the names of your students.
By typing your name below, you are giving permission for your students in 3rd - 12th grade to take a survey about bullying in our schools. Please type your name below.
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