Complaints or Concerns

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We value your input and strive every year to better ourselves as a staff and school. If you have a complaint or concern about our school, you can fill out this form and send it to CHOICE Technical Academy. We will try to resolve your complaint. You must sign this form for our school to act on your complaint. Our first step in working to resolve your issue is by sharing your personal information and your identity with the School Climate and Culture Committee. Your complaint can be for any reason.

Email *

The date you're sending this form: *

YYYY

1. YOUR CONTACT INFORMATION

Your name *

Student's name

Best email to contact you:

Best phone number to contact you:

When are the best times to contact you? *

2. THE COMPLAINT or CONCERN

Your Complaint or Concern:

Please outline your complaint or issues that you would like addressed. Include:

- Time and dates
- Names of people involved
- Locations
- Copies of supporting documentation

Please describe your complaint or concern: *

IMPORTANT NOTICE:

By signing this, I waive my right to privacy under the Family Education Right to Privacy Act (FERPA). By doing this, I give up my right to keep private any personal information that relates to the complaint and the information the school has on me.

If further action is needed outside of CHOICE Technical Academy, I agree that CHOICE Technical Academy can share my personal information and provide copies of my student file or other student records with the Technical Academies of Minnesota School Board members.

This authorization for information and waiver of my privacy will last for one year from the date of my signature. I agree that the CHOICE Technical Academy can use copies of this form and does not require the original signature.

To read more about FERPA and waiving your privacy: www2.ed.gov/policy/gen/guid/fpco/faq.html

Please sign here if you acknowledge and agree to the notice above. By signing, you waive your right to keep private any personal information that relates to he complaint. *

The date of your signature: *

YYYY

Send me a copy of my responses.

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