Nondiscrimination -- Grievance Form

Title VI Compliance Violation, Race Form
TITLE IX Compliance Violation, Grievance Form
AS 18.80.200-295 Discriminatory Practices Violation, Grievance Form
Section 504 Compliance Violation, Grievance Form

(Actual forms may be downloaded - see "attachments" at right side of page)

 

I, ____________________ am filing this grievance because
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


(Attach additional sheets if necessary)

Describe incident or occurrence as accurately as possible:
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________.

(Attach additional sheets if necessary)

 

What remedy are you requesting?________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________.

 

___________________________          ______________________________ 
        Grievant's Signature                            Principal's Signature

 

_________________________                                                
Name of School                                   Date of Filing

 

 

 

 

KETCHIKAN GATEWAY BOROUGH SCHOOL DISTRICT
Adoption Date:  10/13/99
Revision Date:  3/13/2013
Revision Dates:  1/14/2015, 4/8/2016
7/11/2018