NOTE:

For official copies of board policies and procedures please contact the superintendent's office at (253) 583-5190 or email supt@cloverpark.k2.wa.us

CLOVER PARK SCHOOL DISTRICT

Form 4200-F1

Complaints Concerning Staff or Programs

  1. Please explain your concern or compliant:
  2. Please describe the resolution you are seeking:
  3. Please indicate the individuals in which you have previously addressed your concern:
    , ,



Name:
Email Address:
Home Phone:
Work Phone:
Mobile Phone:
Address:
City, State, Zip:
Signature:
Date:

Date: 04.17.06; 05.13.13