Bridgman Public Schools–Parent Forms

This form is for viewing purposes only. Only an original yellow form will be accepted to initiate a formal complaint. These forms are available in all school and district offices.

BRIDGMAN PUBLIC SCHOOL DISTRICT

OFFICE OF THE SUPERINTENDENT

FORMAL COMPLAINT PROCEDURE FOR

PARENTS, GUARDIANS & RESIDENTS

This form and process is available to any Bridgman Public School parent, guardian or resident

who wishes to initiate a formal complaint against any Bridgman Public School District policy, practice,

procedure or employee.

Level of Complaint:

Classroom ____ Building ____  District ____ Transportation ____ Other ____

Name of person completing this form: 

____________________________________

Address: ____________________________________________________________

Telephone: _________________________E-mail: _______________________

Student’s Name:

_______________________________________________________

School and Grade:  _____________________________________________________

Date:  ______________________________

1.           Who or what is your complaint against?

               _________________________________________________________

2.           If the complaint is against a person, has this been discussed with him/her?

              Yes ____           Date(s):  ____________________________________

               No ____

3.           Description of Complaint:  Please include all important information, names,    

             dates, who was present and to whom it was reported.

              _____________________________________________________________

4.           What remedy or action do you suggest?

              _____________________________________________________________

              _____________________________________________________________

              _____________________________________________________________

              _____________________________________________________________

              _____________________________________________________________

              _____________________________________________________________

I certify that the information I have given is true and correct.

Signature: ____________________________________ Date:__________________

This complaint will be submitted to the Office of the Superintendent.  The Superintendent will forward

the complaint to the appropriate level for resolution.

Complaints at the Classroom or Building Level – a copy will be provided to the building principal.

Complaints at the District Level – a copy will be provided to the Board of Education President.

Complaints regarding Transportation – a copy will be provided to the Transportation Director and Business Manager.

A response from the Office of the Superintendent will be provided within 5 business days.  Additional information may

be required for resolution.

___________________________________________________________________

FOR OFFICE USE ONLY

Date Complaint Received:  ____________________________

Date(s) Complainant Contacted:  ___________________________________

Complaint forwarded to:  ___________________________________________

Date Complaint Closed:  _____________________________