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EPS HIB Incident Reporting Form

 

Handle: Document-35840
Owner: Sundstrom, Sarah (User-3946, 12634:EVERETT)DS
Monday, August 22, 2011 09:57:08 AM PDT
Friday, July 2, 2021 10:45:49 AM PDT
Modified By: Diaz, Ailienette (User-392, 08810:EVERETT)DS
Locked By:
  • 3204P
Page 10 of 11Everett Public SchoolsHarassment, Intimidation or Bullying (HIB)Incident Reporting FormToday’s date: Reporting person (optional):Targeted student: Targeted student’s school:Your email address (optional): Your phone number (optional):Name of school adult you’ve already contacted (if any):Name(s) of bullies (if known):List dates did the incident(s) occurred (if known):Where did the incident happen? ? Putting the student down and making the student a target of jokes ? Making rude and/or threatening gestures ? Excluding or r...
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Adobe Portable Document Format (.pdf) - application/pdf
HIBIncidentReportingFormwSubmit.pdf
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104457
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Appears In: HIB
Preferred Version: EPS HIB Incident Reporting Form