Complaints Requiring COO Attention
This form is to be used for complaints regarding the Director of Education Support Services or Director of Human Resources
Your Name *
Your answer
Your Relationship With The School *
Today's Date *
Your answer
Date of Alleged Incident(s) *
Your answer
Name of Person(s) You Have a Complaint Against *
note: if your complaint is not regarding either of these staff members please refer to the Complaint Resolution Policy for the appropriate form.
List Any Witnesses That Were Present *
Your answer
Where Did The Incident(s) Occur *
Your answer
Please describe the events or conduct that are the basis of your complaint by providing as much factual detail as possible *
i.e. specific statements; what, if any, physical contact was involved; any verbal statements; what did you do to avoid the situation, etc. Box will expand to allow as much space as is needed.
Your answer
I hereby authorize the School to disclose the information I have provided as it finds necessary in pursuing its investigation. I hereby certify that the information I have provided in this complaint is true and correct and complete to the best of my knowledge and belief. I further understand providing false information in this regard could result in disciplinary action. *
Typing your name in this box will act as an electronic signature for this document
Your answer
Your Email Address *
Your answer
Your Phone Number (for follow up as needed) *
Your answer
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