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Bullying & Racial/Discriminatory Language and/or Acts Report
Please use this form to report any acts of bullying, racial/discriminatory language, or racial/discrimanatory acts.
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* Indicates required question
Please provide a brief summary of the incident you would like to report. **Be sure to include the name of the person(s) you are reporting.
*
Your answer
Please provide the date of the incident.
MM
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DD
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YYYY
Please provide the approximate time of the incident.
Time
:
AM
PM
Please provide the names of any witnesses to the incident being reported.
Your answer
What is your grade level?
*
9th Grade- Ms. Ritch
10th Grade- Mr. Adair
11th Grade- Dr. Burnette
12th Grade- Ms. Morgan
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