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.Format: (000) 000-0000.
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
Yes
Yes
Yes
Contact Preferences
by emailby phoneby postOther
YesNo
Signature*

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

Nature of the Complaint