Student Concern Form

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Bullying/Harassment Report Form

At St. John Paul II Catholic High School our expectation of each student is to learn enthusiastically, to lead honorable, and to live responsibly. Creating a positive and caring school climate is important; hence we take reports of harassment or bullying behavior seriously as these acts are impediments to learning, honor, and responsibility.

St. John Paul II’s policy is in accord with the Diocese of Birmingham Policy and adheres to the spirit of Alabama Student Harassment Prevention Act - HB 0216 (http://www.bullypolice.org/AL_law2009HB0216.pdf )

Today's Date *

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Person Reporting Incident *

Telephone *

E-mail *

Select the appropriate box *

Student

Faculty/Staff

Parent/Guardian

Family Member

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