Suspension Grievance (Page 3 of 6) in pdf

Suspension Grievance Page 3

SUSPENSION GRIEVANCE

Parent/Guardian

Name

Phone

Address

Student

Name

Grade

School

My child’s school violated the state school discipline statute (G.S. § 115C-Article 27) and local school board

policies for the following reason(s). (Check all that apply.)

My child’s conduct did not violate a school board policy that authorizes a short-term suspension.

My child’s conduct was not willful.

My child was not provided an opportunity to make statements in defense or mitigation of the school’s

accusations.

I was not provided proper notice of my child’s suspension.

My child was denied the opportunity to take her textbooks home, receive missed assignments and

instructions, and/or make up tests and quizzes.

Other:

Additional Details (Describe why you checked the box(es) above.)

____________________________________________

_________________________

Signature

Date

* Parents/Guardians: After you complete this form, make and save a copy for your records. Read your school

district’s grievance policy to determine whether to submit the grievance to the principal or superintendent.

Suspension Grievance Page 3