PS 094 West Hertel Academy

4) Names of the people involved and their role in the incident (witness or participant.) Include the person's grade and school, if known. Example response: John Doe-Participant-Grade 7-School 27 Required*

5) Space for additional name(s) (if needed): Required*

6) When did the incident take place? Required*

7) What happened? Describe the incident, giving as many details as possible: Required*

8) Have you told an adult about this incident? Required*

Yes

9) If you told an adult, who is the adult? (optional)

10) Your Name: (optional)

The following questions are optional. Answer only if you feel comfortable in sharing this information. All information will be held in the strictest confidence.

11) Grade of student victim (if known): (optional)

12) Phone number of person making this report: (optional)

13) School of the student victim (if known): (optional)

PS 094 West Hertel Academy
Forms

Forms

Report Bullying PS #094 DASA

1 forms were found.

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PS 094 West Hertel Academy489 Hertel AvenueBuffalo, NY 14207P: 716.816.4150F: 716.871.6111

WE AIM HIGH!

School Hours

7:30 am - 2:25 pm
Principal
Cecelie Owens
Assistant Principals
Lafraya Wilson Jennifer Lutterbein Eileen Wszalek
Grades
PK-8