NCA Student Concern Form (for Parents/Students)
Please complete this form when you have a concern related to a student's social emotional, mental health or safety.

*If the concern is immediate, please contact an administrator.  
*If this is an emergency call 9-1-1.
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Student Name *
Student Grade *
Your name

Note: Your name will NOT be shared with the student you are reporting. This information is only shared in case we need more information.

*
What is the nature of the concern? *
Please describe the concern in detail. *
When did you become aware of the concern? *
An administrative team member needs to meet with this student *
Submit
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