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Student Support Form
Students, staff or families use this form to request support or report student concerns.
If a question does not apply, you can leave it blank.
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* Indicates required question
Email
*
Your email
Type of issue (check all that apply)
Academic concern
Concern for Mrs. Raber's attention
Issue I'm having with another student
Concern for another student
Bullying (same person repeatedly teasing or making someone uncomfortable)
Harrassment
Fighting
Other:
Describe the concern or issue.
Your answer
Where is the concern happening (if applicable)?
Your answer
When did the concern happen (if applicable) ? (Day of week; date; time)
Your answer
Who is involved?
Your answer
How did or does this affect your school experience?
Your answer
List any other witnesses if applicable
Your answer
What would help you resolve this?
Your answer
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