FNG(EXHIBIT) - STUDENT RIGHTS AND RESPONSIBILITIES: STUDENT AND PARENT COMPLAINTS/GRIEVANCES

The forms on the following pages are provided to assist the District in processing complaints and appeals from students and parents:

EXHIBIT A

STUDENT/PARENT COMPLAINT FORM: LEVEL ONE

Note: Informal resolution is encouraged but does not extend any deadlines in FNG(LOCAL), except by mutual written consent.

To file a formal complaint, please fill out this form completely and submit it by hand-delivery, electronic communication, or U.S. Mail to the campus principal within the time established in FNG(LOCAL). All complaints will be heard in accordance with FNG(LEGAL) and (LOCAL) or any exceptions outlined therein.

Student's name:

Parent's name:

Address:

Telephone number:

E-mail address:

If you will be represented in presenting your complaint, please identify the person representing you.

Name:

Address:

Telephone number:

E-mail address:

Please state the date of the event or series of events causing your complaint.

Please describe the efforts you have made to resolve your concerns and the responses to your efforts. Please include dates of communication and whom you communicated with regarding your concerns.

Please state specific facts that support your complaint (list in detail and submit any documentation to support your facts with the grievance form).

Please state your complaint, including the individual harm alleged. Describe the circumstances causing your complaint. Please give specific, factual details. (If more room is needed, please attach your additional comment to this document.)

Please state the remedy you seek for the complaint.

Student's or parent's signature:

Signature of representative (if applicable):

Date submitted:

Complainant, please note:

A complaint or appeal form that is incomplete in any material way may be dismissed but may be refiled with all the required information if the refiling is within the designated time for filing a complaint or appeal. Please keep a copy of the completed form and any supporting documentation for your records.

EXHIBIT B

STUDENT/PARENT COMPLAINT FORM: LEVEL two

To appeal a Level One decision, please fill out this form completely and submit it by hand-delivery, electronic communication, or U.S. Mail to the appropriate administrator within the time established in FNG(LOCAL). Appeals will be heard in accordance with FNG(LEGAL) and (LOCAL) or any exceptions outlined therein.

Student's name:

Parent's name:

Address:

Telephone number:

E-mail address:

If you will be represented in presenting your complaint, please identify the person representing you.

Name:

Address:

Telephone number:

E-mail address:

Who held the Level One conference?

Date of the conference?

Attach a copy of your original Level One complaint and any documentation submitted at Level One.

Attach a copy of the Level One response.

Student's or parent's signature:

Signature of representative (if applicable):

Date submitted:

Complainant, please note:

A complaint or appeal form that is incomplete in any material way may be dismissed but may be refiled with all the required information if the refiling is within the designated time for filing a complaint or appeal. Please keep a copy of the completed form and any supporting documentation for your records.

EXHIBIT C

STUDENT/PARENT COMPLAINT FORM: LEVEL three

To appeal a Level Two decision, please fill out this form completely and submit it by hand-delivery, electronic communication, or U.S. Mail to the appropriate administrator within the time established in FNG(LOCAL). Appeals will be heard in accordance with FNG(LEGAL) and (LOCAL) or any exceptions outlined therein.

Student's name:

Parent's name:

Address:

Telephone number:

E-mail address:

If you will be represented in presenting your complaint, please identify the person representing you.

Name:

Address:

Telephone number:

E-mail address:

Who held the Level Two conference?

Date of the conference?

Attach a copy of your original Level Two complaint and any documentation submitted at Level Two.

Attach a copy of the Level Two response.

Student's or parent's signature:

Signature of representative (if applicable):

Date submitted:

Complainant, please note:

A complaint or appeal form that is incomplete in any material way may be dismissed but may be refiled with all the required information if the refiling is within the designated time for filing a complaint or appeal. Please keep a copy of the completed form and any supporting documentation for your records.

EXHIBIT D

STUDENT/PARENT COMPLAINT FORM: LEVEL four notice of appeal to the board

To appeal a Level Three decision, please fill out this form completely and submit it by hand-delivery, electronic communication, or U.S. Mail to the appropriate administrator within the time established in FNG(LOCAL). Appeals will be heard in accordance with FNG(LEGAL) and (LOCAL) or any exceptions outlined therein.

Student's name:

Parent's name:

Address:

Telephone number:

E-mail address:

If you will be represented in presenting your complaint, please identify the person representing you.

Name:

Address:

Telephone number:

E-mail address:

Who held the Level Three conference?

Date of the conference?

Attach a copy of your original Level Three complaint and any documentation submitted at Level Three.

Attach a copy of the Level Three response.

Student's or parent's signature:

Signature of representative (if applicable):

Date submitted:

Complainant, please note:

A complaint or appeal form that is incomplete in any material way may be dismissed but may be refiled with all the required information if the refiling is within the designated time for filing a complaint or appeal. Please keep a copy of the completed form and any supporting documentation for your records.

North East ISD

FNG(EXHIBIT)-X

LDU 2016.01

DATE ISSUED: 2/4/2016