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Teacher Incident Report
Teacher Incident Report
Date
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Class Title
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First Name
Last Name
Email (Required if you would like the Hugo House staff to follow up with you)
What happened? Please include which part(s) of the Student Guidelines were violated.
*
Did you address the situation in class and/or privately with the student(s) in question?
*
If another student was harmed, have you spoken with them? If so, how did that go? Do they have demands or requests of you or Hugo House? Are there reparations that should happen?
*
Would it be safe, in your opinion, for the harming student(s) to continue in your class and/or register for another class at Hugo House? Are there actions that the student can take to participate safely in the future?
*
If you are human, leave this field blank.
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1634 11th Ave.
Seattle, WA 98122
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PO Box 20189
Seattle, WA 98102
206.322.7030
welcome@hugohouse.org
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