CAPE MAY CITY ELEMENTARY SCHOOL Parent/Student Grievance Form
To file a formal complaint, please fill out this form completely and submit it by clicking the submission tab at the end of this document, OR print and drop off  hand delivery, fax, e-mail or U.S. mail to the appropriate administrator within the time established per CMCBOE Policy. A complaint filed via e-mail must be copied to the Superintendent. All complaints will be processed in accordance with CMCBOE Policy.
Sign in to Google to save your progress. Learn more
Email *
Parent Information (Name) *
Parent Information (Street Address) *
Parent Information (City/State) *
Parent Information (E-mail) *
Parent Information (Phone) *
Student Information (Name) *
Student Information (Grade) *
If you will be represented, please identify the person representing you and how they would be identified, (i.e. Legal Counsel, Representative, Advocate) *
Please describe the decision or circumstances causing your complaint. Please give specific details. *
What was the date of the decision or circumstance causing your complaint? *
Please explain in detail the following: How has you/your student been impacted by the decision, determination, or circumstance? *
The District policy violated, misinterpreted, or misapplied: *
What efforts have you made to resolve your complaint informally and the response to your efforts? *
With whom did you communicate? *
On what date? *
MM
/
DD
/
YYYY
Please describe the outcome or remedy you seek for this complaint. *
If you are making complaints or charges against any specific individuals, please identify each of those individuals by name and title. If this is a curriculum / program request please type "Student program evaluation for... [specific program]" *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Cape May City Board of Education. Report Abuse
Google Forms