PUBLIC COMPLAINTS ABOUT SCHOOL PERSONNEL (Citizen Complaint Form)

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					EXHIBIT                                                             Code: 1312


                 PUBLIC COMPLAINTS ABOUT SCHOOL PERSONNEL
                            (Citizen Complaint Form)


Answer all questions.


Name                                                         Date

Address                                              Telephone

Complainant represents:

       Himself

       Organization

       Other group (please identify)


1. To what specific actions or statements do you object?




2. Specific dates and locations where these have occurred.




Goshen County School District No. 1, Goshen County, Wyoming         Page 1 of 2
EXHIBIT                                                       Code: 1312


3. How did you learn of the situation?




4. What evidence do you have this actually happened?




5. What action do you think should be taken?




Signed


Adopted:     February 11, 1992

Revised:     February 9, 1999




Goshen County School District No. 1, Goshen County, Wyoming   Page 2 of 2