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Halls Middle School Safety Report
Remember, everything you include on this form is anonymous and confidential. We promise to help you as best we can!
If you have any questions, please come by or call the main office at 922-7494.
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* Anger obligatorisk fråga
Your name
This question is OPTIONAL.
Ditt svar
Relationship to school
*
6th grade student
7th grade student
8th grade student
Parent or Guardian
Community member
What are you concerned about?
*
A fight coming up at school
A knife at school
A gun at school
Alcohol at school
Drugs at school
Someone is harassing or bullying me
Someone is harassing or bullying a friend of mine
Övrigt:
Where is this happening?
*
Check all that apply.
ELA classroom
Math classroom
Science classroom
Social Studies classroom
Art classroom
Band classroom
Chorus classroom
General music classroom
Health classroom
Intervention classroom
Keyboarding classroom
P.E. classroom/gym
Gym locker room
Library
Auditorium during early or late bus hall
Outside the building before or after school
On the bus
Bathrooms
Wing 1 hallway
Wing 2 hallway
Wing 3 hallway
8th grade hallways
Downstairs 7th grade hallway
Upstairs 7th grade hallway
Who is involved?
*
Give us as many names as possible.
Ditt svar
How do you know about this?
*
Ditt svar
Who else have you talked to about it?
*
Ditt svar
What other information do you know that would be helpful to us?
Ditt svar
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