Granada School Anonymous Student Form
We care deeply about your safety and the well-being of all students. Please share as much detail as you can to help us better understand and respond to the situation. This form is designed to be completely anonymous unless you choose to share your identity. Your responses will be kept confidential and will only be used to address concerns and provide support to those involved.

If you need immediate assistance, please reach out to a trusted adult or school counselor.
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What type of concern are you reporting? *
Required
  When did this occur (Date)?   *
MM
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DD
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YYYY
When did this occur (Time)?   *
Time
:
Where did this occur? *
Required
If you responded in the classroom on the previous question, indicate the room the incident occurred in
Was anyone else present during the incident(s)? If yes, who?
Have you discussed this with anyone else (friend, teacher, counselor)? If yes, specify who.
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This form was created inside of Alhambra Unified School District.

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