Grievance Form

    Your Name (required)

    Your Email (required)

    Contact Phone

    School (required)

    Best Time to Reach You by Phone:

    Name of Supervisor/Principal:

    Current Assignment:

    How Long Have You Been There:

    Prior Assignment:

    How Many Years Have You Been in District:

    Professional Teacher Status:
    YesNo

    Previous Grievances:

    Natures of Current Dispute: (be specific; names, dates, times, places)

    Remedy Sought:

    List Contract Language That You Feel Has Been Violated:

    Date Submitted:

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