BANNER COUNTY SCHOOL DISTRICT NO. 1
GRIEVANCE FORM A
FORMAL GRIEVANCE PRESENTATION '
(Level II - Step One)
(To be completed by aggrieved person no later than fifteen (15) school days after stating the grievance in informal procedure)
AGGRIEVED DATE OF PERSON _____________________________
PRESENTATION __________________
HOME ADDRESS OFAGGRIEVED PERSON ___________________________________________________________________
SCHOOL ___________________________________________________________________
SCHOOL PRINCIPAL OR IMMEDIATE SUPERVISOR _______________________________________
EMPLOYEES: Certified or Non-Certified _________________________________________
STUDENTS: ________________________________________________________________
STATEMENT OF GRIEVANCE: ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________
ACTION REQUESTED: ______________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________
Reviewed ______________
Revised ________________
BANNER COUNTY SCHOOL DISTRICT NO. 1
GRIEVANCE FORM B DECISION OF SCHOOL PRINCIPAL OR IMMEDIATE SUPERVISOR
(Level II - STEP ONE)
(To be completed by school principal or immediate supervisor, within three (3) school days of formal grievance presentation.)
AGGRIEVED PERSON _________________________________________________________________
DATE OF PRESENTATION _________________________________________________
SCHOOL _________________________________
SCHOOL PRINCIPAL OR IMMEDIATE SUPERVISOR ___________________________________________
DECISION OF SCHOOL PRINCIPAL OR IMMEDIATE SUPERVISOR AND REASONS THEREFOR: __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
DATE OF DECISION _________________ ________________________________
Signature
AGGRIEVED PERSON'S RESPONSE: (to be completed by aggrieved not later than ten (10) days after presenting the formal grievance to the school principal or immediate supervisor.)
_____ I accept the above decision of the school principal or immediate supervisor.
_____ I hereby appeal to the superintendent of schools for review of the grievance.
DATE OF RESPONSE _________________________
Signature ________________________________
BANNER COUNTY SCHOOL DISTRICT NO. 1
GRIEVANCE FORM C
DECISION BY SUPERINTENDENT
(Level II - Step Two)
To be completed by the superintendent of schools within three (3) days after hearing the Aggrieved Person; hearing to be held within ten (10) days after receipt of appeal.)
AGGRIEVED PERSON ___________________________________________________________________
DATE APPEAL RECEIVED BY SUPERINTENDENT ______________________________________________________
DATE HEARING HELD BY SUPERINTENDENT ______________________________________________________
DECISION OF SUPERINTENDENT AND REASONS THEREOF: ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________
DATE OF DECISION _________________________
Signature_________________________________
AGGRIEVED PERSON'S RESPONSE: (To be completed by aggrieved not later than eighteen (18) days after presenting the grievance to the superintendent.)
_____ I accept the above decision of the superintendent of schools.
_____ I hereby appeal, to the board of education, for a review of this grievance.
DATE OF RESPONSE _________________________
Signature File: _________________________________ BANNER COUNTY SCHOOL DISTRICT NO. 1
GRIEVANCE FORM D
REVIEW BY BOARD OF EDUCATION
(Level II - Step Three)
(To be completed by the board of education within thirty (30) school days after receipt of appeal.)
AGGRIEVED PERSON ___________________________________________________________________
DATE APPEAL RECEIVED BY BOARD OF EDUCATION _________________________________________________
DECISION OF BOARD OF EDUCATION AND REASONS THEREFOR: ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________
DATE OF DECISION OF BOARD OF EDUCATION _______________
Signature _________________________________ AGGRIEVED PERSON'S RESPONSE: (To be completed by aggrieved within five (5) school days of decision.)
_____ I accept the above decision of the board of education.
_____ I hereby request submission of this grievance to fact finding. DATE OF RESPONSE _________________________
Signature__________________________________
