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Aromas-San Juan USD |  E  1312.1  Community Relations

Complaints Concerning District Employees   

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CONTACT INFORMATION OF COMPLAINANT:

(Please Print)

Full Name(s):

Address:

Phone Number(s): Day Evening

NAME OF EMPLOYEE:

Name of Employee(s) Against Whom Complaint is Being Filed:

COMPLAINT DETAILS:

(If more space is needed than is provided below, please continue on a separate sheet and attach.)

Brief Specific Summary of the Complaint and the Facts Surrounding it (including date(s) if known):

Specific Description of Any Prior Attempt to Discuss the Complaint with the Employee(s) and the Failure to Resolve the Matter:

Please Describe What You Believe Would Be an Appropriate Resolution to this Complaint:

FILING PROCESS:

All complaints related to district personnel other than administrators shall be initially submitted to the principal or immediate supervisor. Complaints related to a principal or central office administrator shall be initially submitted to the Superintendent or designee. Complaints related to the Superintendent shall be initially submitted to the Board.

Please provide a signature below. If you wish to remain anonymous, a signature is not required. However, all complaints, even anonymous ones, should be dated. Please also indicate if you would like a response to this filing.

Signature Date

Response requested? ___ Yes ___ No

Exhibit AROMAS-SAN JUAN UNIFIED SCHOOL DISTRICT

version: April 18, 2012 San Juan Bautista, California