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What Happened - Report a Problem at Langdon School
Use this form for any problems you may have witnessed or have heard about. Remember, speaking up helps to make our school a better place to be and we want to support you.
Please fill in the form below with as many details as possible.
* Indicates required question
Email
*
Record my email address with my response
What date did the event occur?
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MM
/
DD
/
YYYY
What is your homeroom?
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Your answer
When did this happen?
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Before school
Period 1
Period 2
Morning break
Literacy/Numeracy
Period 3
Period 4
1st half of lunch
2nd half of lunch
Period 5
Period 6/Homeroom (Fridays)
Period 7
After school
Other:
Where did this happen? (Be specific: what part of the school? I.e. In which classroom? Which hallway? Where outside?... etc...)
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Your answer
Explain what happened or what you saw.
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Your answer
Who did it?
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Your answer
Did anyone else see it?
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Yes
No
If someone saw it, who were they?
Your answer
Is this the only time this has happened with this person or has it happened before?
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Only time
It has happened before
If this has happened before, have you reported this to a staff member before? If yes, write down who you talked to under "Other".
Yes
No
Other:
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