Incident Report Form
The DEJ Office is committed to fostering a school
environment where every member of our community, students, staff, and families, feels valued, included, and safe. If you’ve witnessed or experienced any incident related to discrimination, harassment, or behavior that contradicts o
ur core values of diversity, equity, and justice, please use this form to let us know.
What This Report Covers
Please describe any incident, such as bias, harassment, racism, derogatory remarks, unfair treatment, or any form of exclusion, that has impacted you or someone else within the school environment. Your detailed observations, including the date, time, location, individuals involved, and any witnesses, will help us understand the full context.
Why Your Submission Matters
Incident reports guide our efforts to address concerns promptly and fairly. By sharing your experience:
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You help us uphold a respectful and inclusive school culture.
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You enable us to take appropriate action, whether through follow-up conversations, confli
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ct resolution, or policy review.
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Your input helps us learn and improve, to prevent similar incidents in the future, ensuring accountability and transparency.