JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Grievance Fact Collection Sheet
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Site
*
Choose
Alternative Education
Alta Vista
BVH
BVM
CPH
CPM
CVA
CVH
CVM
EHA
ELH
ELM
GJH
HTH
HTM
LVA
MAAC
MVA
MVH
MOA
MOH
MOM
NCA
NCM
OLH
OSS
ORH
PAH
RDM
SOH
SOM
Special Services
SUH
SYA
SYH
TOSA
Other
Name
*
Your answer
Best contact phone
Your answer
Role
*
Lead Site Representative
Site Representative
Active Member (Dues paying member)
Other
WHO
is involved? (Witnesses, management, personnel, grievant)
*
Your answer
WHEN
did the problem occur? (Is there more than one specific time involved?)
*
Your answer
WHERE
did the problem occur? (More than one location?)
Your answer
WHAT
happened (Facts behind differing viewpoints. Background information. Differing positions?)
*
Your answer
WHY
is this a grievance? (What was violated? Contract Article #, past practice, Ed code, law, safety, etc.):
Your answer
WHAT
is the specific and/or general remedy demanded?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Sweetwater Education Association .
Report Abuse
Forms
