Bloom - Super Admin
Athens City School District Admin
Athens City Schools - School Admin
Athens City Schools - Teacher
Athens City Schools - Substitute Teacher
Athens City Schools – Social Services Admin
Athens City Schools – Social Worker
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Athens City School Bus Driver
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David
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New Threat
Student may pose a threat of :
Harm to self
Harm to others
Damage to school property
Did you personally witness the incident or behavior?
Yes
No
Summary: Brief description the issue or your concern :
Date : When did the issue occurs?
Description : Describe what you observed. Exactly what was said or done by the student?
Quote as much as possible, use quotation marks to identify direct quotes.
Target or victims: If known, list the target or victims
List each name, and whether a student, teacher, parent, administrator or other
Witnesses: List other wirnesses.
List each name, including student grade.
Personal close to the student List student, staff, or others who know the student well.
Example: Best friend, boyfriend/girlfriend, coach.
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First Name :
Last Name :
UserName :
Email :
Text Message Email :
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