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Complaint Form

PCS is a small community of like-minded parents, students, teachers, and school administrators and staff. The expectation is that we can all have open, respectful communications in support of the school’s mission and for the health of our community. PCS’s Complaint Policy describes the expected steps to resolve issues. Please use this form for situations that have not been resolved by the processes contained the Complaint Policy.

Please complete the form below. Required fields marked *

Date of Alleged Incident*

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NAME of person(s) you have a complaint against: *

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WITNESSES present:

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WHERE did incident(s) occur? *

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DESCRIBE the events/conduct that is the basis of your complaint. Please provide as much factual detail as possible (specific statements, any physical contact that was involved, verbal statements, etc.): *

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WHAT have you done to date to try to resolve this situation?*

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I hereby authorize PCS to disclose the information I have provided as it finds necessary in pursuing its investigation. I hereby certify that the information I have provided in this complaint is true and correct and complete to the best of my knowledge and belief. I further understand that purposefully providing false information in this regard could result in disciplinary action.

Your name (optional)

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Your email: (optional)

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Confirmation Email

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