PARENT’S GRIEVANCE/COMPLAINT FORM Learner’s Name Learner’s Grade Parent’s Name Email: Parents Tel/ Cell: Name/s of involved in the grievance Date on the grievance is formally lodged: Define the grievance in specific terms. Be objective and stick to the issues involved. Detail the incident relating to the grievance (Specify the names of staff and pupils involved; incident/s and date/s) If the matter had been previously raised with the school, please identify the staff and mention time frames. Detail Any previous action taken by the school and its representatives to resolve the grievance. Include examples of where you feel no/unsatisfactory action has been taken. Detail your specific request or suggestions on how you wish the grievance to be resolved i.e. outline the specific actions you would like to see taken by the school. Parents Signature: Date:
PARENT’S GRIEVANCE/COMPLAINT FORM Learner’s Name Learner’s Grade Parent’s Name Parents Tel/ Cell: Email: Name/s of involved in the grievance Date on the grievance is formally lodged: Define the grievance in specific terms. Be objective and stick to the issues involved. Detail the incident relating to the grievance (Specify the names of staff and pupils involved; incident/s and date/s) If the matter had been previously raised with the school, please identify the staff and mention time frames. Detail Any previous action taken by the school and its representatives to resolve the grievance. Include examples of where you feel no/unsatisfactory action has been taken. Detail your specific request or suggestions on how you wish the grievance to be resolved i.e. outline the specific actions you would like to see taken by the school. Parents Signature: Date:
BMS-Parents-Grievance-Form.docx