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ECCS Discipline Complaint Form
Pupil Fair Dismissal Act
ECCS Discipline Policy
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Name of Person Completing Form
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Your answer
Date of Complaint
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Email Address
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Your answer
Phone Number
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Student Name
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Your answer
Grade
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School
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Describe your complaint(s) and/or allegation(s) regarding improper implementation of the Minnesota Pupil Fair Dismissal Act and/or the discipline policy or how the procedure in these two documents are being discriminately applied.
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List below any other information you would like the District to consider.
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Signature (initials)
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Date
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