Child Abuse Reporting Form - Woodburn School District - woodburnsd 2026

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  1. Click ‘Get Form’ to open the Child Abuse Reporting Form in the editor.
  2. Begin by entering the 'Date Reported' and 'Time Reported' at the top of the form. This information is crucial for tracking the report.
  3. Fill in the 'Student Name', 'DOB', and 'Grade' fields accurately to identify the student involved.
  4. Provide details for 'Parent/Guardian', including their home and work phone numbers, as well as their address, city, state, and zip code.
  5. Select the appropriate agency you are reporting to, such as DHS or Woodburn Police, and include contact information for follow-up.
  6. Indicate the type of abuse reported by checking one or more boxes: Physical, Mental Injury, Sexual, Threat of Harm, None, or Neglect.
  7. Document any witnesses by filling in their names and titles in the designated section.
  8. Describe the abuse in detail in the provided space to ensure clarity for those reviewing the report.
  9. Complete your section by printing your name and title as reporting staff, along with your school phone extension. Ensure all signatures are obtained where required.

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1,883 West Linn High School / Number of students (20212022)
Woodburn is within East Allen County Schools (EACS) and is zoned to Woodlan Elementary School and Woodlan Junior/Senior High School. Woodburn Lutheran School, a private Preschool-8th grade Christian school, is in the city limits.
Woodburn High SchoolSchool districtWoodburn School District 103PrincipalDulce NashGrades9-12Number of students1,701 (2023-2024)13 more rows

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The student body at the schools served by Woodburn School District 103 is 10.8% White, 0.2% Black, 0.4% Asian or Asian/Pacific Islander, 87.2% Hispanic/Latino, 0.1% American Indian or Alaska Native, and 0.2% Native Hawaiian or other Pacific Islander.
Roseburg High School 2023-2024 Rankings Roseburg High School is ranked #11,335 in the National Rankings. Schools are ranked on their performance on state-required tests, graduation and how well they prepare students for college.

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