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Elementary Parent Concern, Complaint or Compliment - Southport Elementary
This form should be used to address concerns, complaints, or compliments as specified in
Senate Bill 49- Parents Bill of Rights
and
Policy Code: 1742/5060 Responding to Complaints
. You will receive a response within 48 business hours of submission. If you need assistance in completing the form, please call 910-406-5100 and an administrative assistant will help you.
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* Indicates required question
School Name
*
Southport Elementary School
Name of Student (First and Last)
*
Your answer
Grade Level of Student
*
Choose
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
This is a...
*
Concern
Complaint
Compliment
I have spoken with my child's teacher(s)...
*
in person
over the phone
through email
I have not spoken with the teacher
Required
Name of teacher(s) you spoke with
Your answer
Your answer
Please describe your concern, complaint, or compliment
*
Your answer
What is your desired outcome?
*
Your answer
Email of Parent (Legal Guardian) Submitting the Form
*
Your answer
Phone Number of Parent (Legal Guardian) Submitting the Form (please have Voicemail set up in the case you are not available when we call)
*
Your answer
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