STUDENT FEEDBACK

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First Name

Last Name

School Email

Grade

I am having a problem

with coursework

with a staff member

with a bully

with a personal matter

Explain your issus as much as you can.

How do you believe the issue can be resolved? It's okay to be unsure.

I am requsting a(n)...

email from Mrs. Shakara

private meeting with Mrs. Shakara

Anything else you would like to add?

Thanks, keep and eye on your email for followup.

"A Private School with a Community Focus"