Jessie Mae Monroe Parent Complaint or Concern Form

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This form should be used to address concerns or complaints as specified in Senate Bill 49- Parents Bill of Rights and Policy Code: 1742/5060 Responding to Complaints. You will receive a response within 48 business hours of submission.

Email *

Name of parent/legal guardian completing this form *

Phone Number of Parent (Legal Guardian) Submitting the Form (please have Voicemail set up in the case you are not available when we call)
*

Name of Student (First and Last) *

Grade Level of Student *

Grade K

Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

Pre-K

Other:

Required

This is a *

Complaint

Concern

Compliment

I have spoken with my child's teacher(s) *

in person

over the phone

through email

I have not spoken with a teacher

Required

Name of the teacher(s) you spoke with *

Please describe your compliment, complaint or concern *

What is your desired outcome? *

Submit

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This form was created inside of Brunswick County Schools.

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