| J-1032 © JFABD-EB | ||||
EXHIBIT EXHIBIT |
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| ADMISSION OF HOMELESS STUDENTS | ||||
| (Complaint Form) | ||||
Person(s) filing complaint _____________________________________________ |
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Complainant can be contacted as follows ________________________________ |
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_____________________________________________________________________ |
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Date complaint is filed ________________________________________________ |
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Student name and grade ______________________________________________ |
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Has problem been discussed with the administration? |
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¨ Yes ¨ No Date _________________________________________ |
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Information the complainant wishes to have considered: |
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Other persons with information about concern: |
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_____________________________________________________________________ |
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_____________________________________________________________________ |
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_____________________________________________________________________ |
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_____________________________________________________________________ |
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| The projected solution | ||||
Indicate what you think can and should be done to solve the problem. Be as specific as possible. |
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________________________________________ _______________________ |
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The administration shall give one (1) copy to the complainant and shall retain one (1) copy for the file. |
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