Report a Concern
Please complete all applicable fields and submit this from for our records. A staff member will contact you within 48 business hours of submission. If this is an issue regarding a suspected bullying situation, please complete the Form for Suspected Bullying instead. The fields with a red asterisk indicate required information. This form contains information that is confidential and/or privileged. Once you submit the form, you will receive a confirmation email. Thank you.
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Your Name: *
Best Contact Number:
Best Email Address:
Name of my Student (if applicable):
Date of Birth of Student (if applicable):
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DD
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Student Number (if applicable):
Program
Grade Level
Attending School
If Known - Name of other Student(s) Involved:
Have you talked to someone at school and if so, who?
If no, why not?
Description of Concern:
Describe your suggested solution:
Date Completed
MM
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DD
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Submit
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