Arrangements Form

APPENDIX E

Summary of School Arrangements Form

Code

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ANALYSIS OF BULLYING LAWS AND POLICIES SCHOOL IMPLEMENTATION STUDY

SUMMARY OF SCHOOL ARRANGEMENTS FORM

Please review the information below for accuracy. If there are any changes, record them and fax the corrected form to our Field Coordinator, Ariana Bell, at 916-983-6693, call our phone line at 916-983-6680, or email abell@emt.org.

School Name:
School Address:
Name and Telephone of Main Contact:
Scheduled Date(s) of Data Collection:

I. SELECTED INTERVIEW SCHEDULE

Interview Date	Start Time	End Time	Location	Name of Respondent	Role Respondent	Consent Completed
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Interview Date	Start Time	End Time	Location	Name of Respondent	Role Respondent	Consent Completed
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