Student / Parent Complaint Form — Level Three Appeal
To appeal a Level Two decision, or the lack of a timely response after a Level Two confer- ence, please fill out this form completely and submit it by hand delivery, electronic communi- cation, or U.S. Mail to the Superintendent's Office within the time established in FNG(LO- CAL). Appeals will be heard in accordance with FNG(LEGAL) and (LOCAL) or any exceptions outlined therein.
Name:
*
Address:
*
Telephone number:
*
Email address:
*
example@example.com
Campus
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Amelia Elementary School
Beaumont United High School
Bingman Head Start
Blanchette Elementary School
Caldwood Elementary School
Career & Technical Education Center
Charlton-Pollard Elementary School
Dishman Elementary School
Elementary DAEP
Fehl-Price Elementary School
Fletcher Elementary School
Homer Drive Elementary School
Jones-Clark Elementary School
King Collegiate Academy
Marshall Middle School
Martin Elementary School
Odom Academy Middle School
Pathways Alternative Learning Center
Paul A. Brown Learning Center
Pietzsch-MacArthur (6-8)
Pietzsch-MacArthur (PreK-5)
Regina-Howell Elementary School
Roy Guess Elementary School
Sallie-Curtis Elementary School
Smith Middle School
Vincent Middle School
West Brook High School
If you will be represented in presenting your appeal, please identify the person representing you.
Name:
Address:
Telephone number:
Email address:
example@example.com
Who held the Level Two conference?
*
Date of conference:
*
-
Month
-
Day
Year
Date
Date you received a response to the Level Two conference:
*
-
Month
-
Day
Year
Date
Please explain specifically how you disagree with the outcome at Level Two.
*
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Do you want the Board to hear this appeal in open session?
*
No
Yes
If yes, the Board will consider your request; however, you may not have a legal right under the Texas Open Meetings Act to require a meeting in open session.
Attach a copy of the Level Two response being appealed, if applicable.
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Student's or parent's signature:
*
Signature of student's or parent's representative:
Date of filing:
*
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Month
-
Day
Year
Date
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