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 South Sanpete School District           Public Concern/Complaint Form
Email *
Sharing concerns, suggestions, or complaints
I have met with the teacher/coach/advisor/staff member? *
I have met with the school administration? *
I have met with or contacted the Superintendent? *
Complainant would like a response? *
Contact Information: Name, Phone, Email *

Please describe your complaint or the concern you are reporting in detail. 

Include places, dates, times, and frequency of the event.

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What is your suggestion to solve the problem?
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How do you know about the improper action? 

Did you see it occur or what is your first hand knowledge of the incident?

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Are there any other persons who might provide information or who witnessed the event?

If so, what are their names, positions, and their contact information? 

Has this activity been reported to anyone else? (If reported, please include who it was reported to, the date it was reported and attach any relevant documentation below.)

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Is there evidence that can be examined or documentation that can be reviewed? Please provide

Did you see documentation indicating the even occurred?
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Do you know what specific law or state regulation has been violated?   *
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