STUDENT/PARENT COMPLAINT FORM
Schools are very important facilities. They have the ability to shape children into huge successes by giving them the proper education they deserve. However, there may be problems within schools that can hinder the educational progress of students. The person who experienced the problem should normally fill in this form. If you are making a complaint on behalf of someone else please fill in Section B also.
Email address *
Has this type of incident occurred before on campus? *
When did this incident occur? *
MM
/
DD
/
YYYY
If yes, what is your name? *
Does student have an IEP?
Clear selection
Approximately what time did this incident occur? *
Time
:
Who did you report this incident to on campus? *
Parent/Guardian information *
When were you made aware of this problem? *
B. Are you are making the complaint for another person? *
What do you think should be done to fix this problem on campus? *
Grade Level *
What was their response? *
What is your relationship to the complainant? *
What is the name of the school you are complaining about? *
Full Name of Student *
Describe how the incident has affected you. *
What happened to make you contact us? *
Contact number *
Do we have your permission to advocate/speak to District Representatives (including Superintendent, Principal, Teachers etc.) on your behalf?
Clear selection
Type of complaint *
Why are you making this complaint for them? *
How would you prefer us to contact you? *
Have you complained to anyone on campus about this issue? If so, who? *
A copy of your responses will be emailed to the address you provided.
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