Complaint Form (Use in conjunction with the complaint process listed in the student handbook) COMPLETED FORM MUST BE SUBMITTED TO THE OFFICE OF THE SUPERINTENDENT, ATTENTION MARY HARRELL Before completing this form, please follow these steps: 1) Make the complaint known to the staff member most closely involved either in writing or in a scheduled conference. 2) If not resolved, inform the building principal. 3) If not resolved, contact the district office. If the situation is still not resolved, you are welcome to fill out this complaint form. The superintendent or designee will review the complaint and respond within 5 workdays. Name: Date: School: Grade: (if applicable) ! ! Check either: Student or Parent Give a brief statement as to the specific nature of the complaint: How would you like to see your concern resolved? Have you tried to resolve this complaint before, or is this the first time? Please provide your phone number and address so that we can get back to you. A response will either be mailed to you or we will discuss by phone or in person. Phone Number: Address:
Complaint Form (Use in conjunction with the complaint process listed in the student handbook) COMPLETED FORM MUST BE SUBMITTED TO THE OFFICE OF THE SUPERINTENDENT, ATTENTION MARY HARRELL Before completing this form, please follow these steps: 1) Make the complaint known to the staff member most closely involved either in writing or in a scheduled conference. 2) If not resolved, inform the building principal. 3) If not resolved, contact the district office. If the situation is still not resolved, you are welcome to fill out this complaint form. The superintendent or designee will review the complaint and respond within 5 workdays. Name: Date: School: Grade: (if applicable) Check either: ! Student or ! Parent Give a brief statement as to the specific nature of the complaint: How would you like to see your concern resolved? Have you tried to resolve this complaint before, or is this the first time? Please provide your phone number and address so that we can get back to you. A response will either be mailed to you or we will discuss by phone or in person. Phone Number: Address:
3.1-Elem-Handbook-16-17-Eng-Span.docx