Hoosier Academy Inc. Grievance Form

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It is the intent of the Hoosier Academy Inc. to provide an appropriate balanced administrative channel to allow parents to express complaints to and appeal decisions of the HCCA administration or staff. The primary objective of the complaint process is to ensure that the well-being of each child and the academic integrity of HCCA are upheld. The complaint procedures are intended to enhance timely fact-finding, hearing and decision making in the event of a complaint. These procedures will comply with any existing state and local laws in the State of Indiana regarding grievances, complaints, disputes, and conflict resolution.

For the purposes of these procedures, a complaint is broadly described as, "A formal or informal expression of dissatisfaction about some aspects of HCCA staff decisions or actions, or administrative or academic program as implemented that is brought to the attention of the Academic Administrator, Head of School or the Hoosier Academy Inc. Board of Directors." In the interest of harmonious relations and positive interactions, anyone with a concern or complaint should make all efforts to resolve an issue at the level at which it occurred. If you feel that your issue needs to be brought to the attention of an administrator, please complete and submit this form. (form updated 08/09/2022)

Your Email *

Your First and Last Name *

Student's First and Last Name *

Date of the Incident *

YYYY

Name of Staff Member Complaint is Against *

Complaint or Incident (please describe in detail the issue/concern and any relevant details regarding your attempt(s) to resolve the issue/concern with the employee) * *

Have you attempted to resolve this issue with the staff member? (If no, your complaint may be referred back to you to complete this step) * *

yes

Date of the attempted resolution (enter N/A if no attempt has been made) *

YYYY

Date of the attempted resolution (enter N/A if no attempt has been made) *

YYYY

What were the steps taken and what was the outcome of the attempted resolution? (Enter N/A if no attempt has been made) * *

Corrective Action Desired: (please describe what you would like to see happen as a result of this complaint) * *

Your complaint will be reviewed in a timely fashion and you will be contacted by the appropriate administrator/supervisor with any follow up questions and/or meeting requests within 10 days. * *

Please click here to indicate you have read and understand this statement.

Please enter your full name as your electronic signature to submit this form. *

Submit

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