La Joya Independent School District Office of Student Services Student, Parent or Guardian Complaint Form
Level One
District’s policy FNG
Name of Parent:/ Nombre del Padre:
Date:/ Fecha:
Student Name:/ Nombre de Estudiante: School:/ Escuela:
Grade Level:/ Grado:
Nature of Complaint:/ Queja: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Remedy:/ Remedio:
____________________________________________________________________________________ ____________________________________________________________________________________ Parent Signature:/Firma de Padre: ****************************FOR OFFICE USE ONLY********************************* Action Taken:/ Solucion:
Marina Abdullah Executive Director for Student Services
Date