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Parent Grievance Form - Level Two

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

Exhibit C — 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.

A person filing a complaint regarding refusal of entry to or ejection from property under the District’s control based on Education Code 37.105 will be permitted to address the Board in person within 90 calendar days of filing the initial complaint unless the complaint is resolved before reaching the Board. [See GKA]

Name:*

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Address:*

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Telephone number:*

Number Required

Email address:*

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

Name:

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Address:

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Telephone number:

Number Required

Email address:

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Who held the Level One conference?*

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Date of conference:*

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

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

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Student's or parent's signature:*

Signature Required

Signature of student’s or parent’s representative:

Answer required for "Signature of student’s or parent’s representative:"

Date of filing:*

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Complainant, please note:

If you are initiating a formal complaint with the District, please use the Exhibit A — Level One form. The appropriate level administrator or level hearing will be designated to respond to the complaint in accordance with this policy.

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.

DATE ISSUED: 9/29/2023

UPDATE 68

FNG(EXHIBIT)-RRM

Confirmation Email

Confirmation Email *

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