COMPLAINT FORM

COMPLAINT FORM
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Role in Farandole / Role à Farandole*
Date of the incident or concern*

MonthDayYear
Date
Hour Minutes
Nature of the Complaint
Briefly describe the issue or concern that you are raising.*
When did this issue or concern occur ?*
Who was involved in the incident or concern?*
What were the specific actions or behaviors that you found to be objectionable?*
Details of the Complaint
Provide more detailed information about the incident or concern.*
What were the consequences of the incident or concern?*
What would you like the Association of French Speaking Parents trading as Farandole to do to resolve the issue?*
Do you have any documentation or evidence related to the incident or concern?*
Complainant's Statement
Please provide a written statement summarizing your complaint and outlining your expectations for resolution.*
You may also include any additional information or comments that you believe are relevant to the complaint.
Consent and Confidentiality
By submitting this form, I consent to the Association of French Speaking Parents / Farandole investigating and resolving my complaint.*

Yes
I understand that the Association of French Speaking Parents / Farandole will handle my complaint with confidentiality and respect for my privacy.*

Yes
I authorise the Association of French Speaking Parents / Farandole to share my personal information with individuals directly involved in investigating and resolving my complaint.*

Yes
Contact Preferences
Please provide a preferred method for the Association of French Speaking Parents / Farandole to contact you regarding your complaint.*

by emailby phoneby postOther
You may also choose to receive updates on the progress of the investigation.*

YesNo
Signature*

Clear
Please verify that you are human*
Should be Empty:

COMPLAINT FORM

Nature of the Complaint

Details of the Complaint

Complainant's Statement

Consent and Confidentiality

Contact Preferences