Glenbard Township High School District 87
Policy 8:110
Community Relations
Exhibit – Public Concerns and Suggestions Form
Directions:
Please complete and return this form to the appropriate building Principal or Administrator within 5
school days if informal resolution of the concern cannot be achieved.
Identifying Information:
Name:____________________________________________________________________________________
Address:__________________________________________________________________________________
Daytime Telephone:_________________________________________________________________________
Description of Complaint (Be as specific as possible including time, date, location of incident, school
employee and /or policy involved, names of those who may have observed the incident or have
information concerning it. Attach additional sheets if necessary. Provide copies of any documents that
concern the complaint).
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Describe action you think the school should take in response to the complaint.
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Describe the efforts made to resolve the complaint informally. Include date of these efforts and identify
persons involved in these efforts.
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
I affirm that the information contained here is true and accurate to the best of my knowledge. I will correct
or supplement any information that I discover is not accurate. I have been given a copy of the complaint
procedure and understand that procedure.
__________________________________
Complainant Signature Date
DATED: December 9, 2002
REVIEWED: March 13, 2006
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