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

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

STUDENT/PARENT COMPLAINT FORM — LEVEL ONE

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 appropriate administrator within the time established in FNG(LOCAL). All complaints will be heard in accordance with FNG(LEGAL) and (LOCAL) or any exceptions outlined therein.

Name: ________________________________________________________________

Address: ______________________________________________________________

______________________________________________________________________

Telephone number: ______________________________________________________

E-mail address: _________________________________________________________

Campus: ______________________________________________________________

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

Name: ________________________________________________________________

Address: ______________________________________________________________

______________________________________________________________________

Telephone number: ______________________________________________________

E-mail address: _________________________________________________________

Please describe the decision or circumstances causing your complaint (give specific factual details).

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

What was the date of the decision or circumstances causing your complaint? ____________________________________

Please explain how you have been harmed by this decision or circumstance.

_____________________________________________________________________

_____________________________________________________________________

Please describe any 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 describe the outcome or remedy you seek for this complaint.

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

Student or parent signature: _________________________________________________

Signature of student's or parent's representative: __________________________________

Date of filing: ______________________________

Complainant, please note:

A complaint 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.

Attach to this form any documents you believe will support the complaint; if unavailable when you submit this form, they may be presented no later than the Level One conference. Please keep a copy of the completed form and any supporting documentation for your records.

EXHIBIT B

LEVEL TWO APPEAL NOTICE

To appeal a Level One decision, or the lack of a timely response after a Level One conference, please fill out this form completely and submit it by hand delivery, electronic communication, or U.S. mail to the Superintendent or designee within the time established in FNG(LOCAL). Appeals will be heard in accordance with FNG(LEGAL) and (LOCAL) or any exceptions outlined therein.

Name:

Address:

Telephone number:

E-mail address:

Campus:

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

Name:

Address:

Telephone number:

E-mail address:

Who held the Level One conference? _________________________

Date of conference: _____________________________

Date you received a response to the Level One conference: __________________

Please explain specifically how you disagree with the outcome at Level One.

____________________________________________________________________

____________________________________________________________________

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

Attach a copy of the Level One response being appealed, if applicable.

Student or parent signature: __________________________________________________

Signature of the student's or parent's representative: _______________________________

Date of filing: ______________________________

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

LEVEL THREE APPEAL NOTICE

To appeal a Level Two decision, or the lack of a timely response after a Level Two conference, please fill out this form completely and submit it by hand delivery, electronic communication, or U.S. mail to the Superintendent or designee within the time established in FNG(LOCAL). Appeals will be heard in accordance with FNG(LEGAL) and (LOCAL) or any exceptions outlined therein.

Name:

Address:

Telephone number:

E-mail address:

Campus:

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

Name:

Address:

_____________________________________________________________________

Telephone number:

E-mail address:

Who held the Level Two conference? __________________________

Date of conference: _____________________________

Date you received a response to the Level Two conference: ____________________

Please explain specifically how you disagree with the outcome at Level Two.

_____________________________________________________________________

_____________________________________________________________________

Do you want the Board to hear this appeal in open session? ? Yes ? NoIf so, the Board will consider your request; however, you may not have a legal right under the Texas Open Meetings Act to require a meeting in open session.

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

Attach a copy of the Level Two response being appealed, if applicable.

Student or parent signature:

Signature of student's or parent's representative:

Date of filing: ______________________________

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.

Aldine ISD

FNG(EXHIBIT)-X

LDU 2015.08

DATE ISSUED: 10/30/2015