Personnel

 

 

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†††††† SOUTH CONEJOS SCHOOL DISTRICT STAFF CONCERNS-COMPAINTS-GRIEVANCE ††††††††††GBK_E

†††††† INSTRUCTIONS: Employee completes this form and submit to your immediate supervisor.

 

Name: (Last/First/MI)

Signature:

Supervisor:

Date:

STEP 1: Please state the specific description of the complaint, including names, dates and places necessary for complete understanding of the complaint (cite specific district, state, or federal regulations which are alleged to have been violated):

Date(s) when complaint was discussed with your supervisor:

STEP 2: Please list reason(s) why your supervisorís proposed resolution of the problem is not acceptable:

STEP 3: Please list specific actions requested of school district which you believe will remedy the complaint:

Board Action:

Please sign and date this form:

Supervisor:†††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† †††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† Superintendent:†††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† †††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† Board President: †††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††

 

South Conejos School District RE-10††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† 1 of† 1


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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