Appendix 1: Complaint Pro Forma

Parental Issue

Pupil’s Name:_____________ Class:______________________
Parents Name:___________ Contact Cell. No.:___________
Nature of Issue:
1. Pupil 2. Class 3. School 4. Admin 5. Other

Please give concise details of your complaint, (including dates, names of witnesses etc.), to allow the matter to be fully investigated: You may continue-on a separate paper, or attach additional paperwork, if you wish.

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Has the class teacher been contacted?                     Yes / NO         if yes, on what date? _________________________________________________________________

If no – please arrange a meeting with the class teacher: Date of meeting:  ____/____/_______

Outcome of Meeting: (Filled by teacher)

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Has the key stage principal been contacted?                     Yes / NO         if yes, on what date? ____________________________________________________________

If no – please arrange a meeting with the KS Principal:  Date of meeting:  ____/____/_______

Outcome of Meeting: (Filled by KS principal)

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Has the school principal been contacted?                     Yes / NO         if yes, on what date? ____________________________________________________________

If no – please arrange a meeting with the school Principal:  Date of meeting:  ____/____/_______

Outcome of Meeting: (Filled by school principal)

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When all the above have been completed and the situation is still ongoing, please arrange a meeting with the Corporate office via the Principal PA:    Date of meeting: ____/____/_______

Final Resolution:     
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Signed:                                                                        Date: