Charter School Commission Community Complaint Form

Charter School Commission Community Complaint Form

1. Today's Date:*

2. First and Last Name:*

3. What is your connection to the school?

If you are a parent or student please use this form instead.

4. What is the best email to contact you at?*

If you do not have an email address please enter your phone number.

5. Phone number:

6. What School is this related to?*

Select or enter value

7. Do you need an interpreter?

Yes

7a. What language do you need an interpreter for?

8. Describe what has happened with specific details. Note: All information submitted in this form is a matter of public record.*

Include when the incident occurred, times when it occurred, and where the incident occurred. If you have additional documentation please submit it via email to charterschoolinfo@k12.wa.us and mention in the email that you also submitted a complaint.

9. Is there a safety concern?*

Yes

9a. Please describe the safety concern.

If this incident has resulted in an emergency, please call 911 immediately

10. Have YOU contacted any school staff or board members about this incident?

Yes

11. What actions have school staff or board members taken regarding your complaint (if any)?

12. What are your desired next steps to resolve this concern?*

13. Is there any additional information you would like to provide?

Select or enter value

Send me a copy of my responses

Privacy Notice|Report Abuse