Friday, April 18, 2014

Tell Someone....

In order to continue to provide the safest environment for students at AGHS, please report any activity that you deem unsafe or inappropriate. 

Any form of harassment, bullying (including cyberbulling), physical or verbal assaults is not tolerated at AGHS.  Additionally, any activities involving drugs, alcohol, weapons or other dangerous items are taken seriously by school officials. 

Please continue making AGHS a place of mutual respect, tolerance and safe place to learn!



Items denoted with a red asterisk * are required.
 * Name
 
First Name
M.
Last Name

First Name, Middle Initial, Last Name

 * Address
 
Address 1
Address 2
City
State
Zip Code

This information will remain confidential but must be provided.

 * Phone Number
 
 -  - 
(XXX)-XXX-XXXX
 * Student ID Number
 
 * Type of Problem
 






 * Details of the Complaint
 

Please describe the type of harassment, discrimination or problem that you experienced. Include specifics such as: date, time, where the incident occurred and what happened.

 * Aggressor
 

List the person/people involved in harassing, discriminating or hurting you.

Witnesses
 

Please list any witnesses that also observed this incident.

Location
 

Where did the incident occur?

Date & Time
 

Please list all date(s) and time(s) when the problem occurred or first came to your attention.

Attempted Resolution
 

What steps have you taken, if any, to resolve this issue before filing a complaint?

 * How can we contact you?
 

Please submit your e-mail address or cell phone number for texting purposes.

 * Prior to Submitting
 

I understand that under penalty of perjury my statement is true and honest. I know I will only be contacted in the most discrete way if school officials need additional information.

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