EXHIBIT C
NOTICE OF APPEAL TO THE SUPERINTENDENT AT LEVEL THREE
This form must be filled out completely by a student or parent appealing a Level Two decision to the Board, in accordance with FNG (LOCAL) or any exceptions outlined therein.
1. Name ____________________________________________________________________
2. Campus __________________________________________________________________
3. Address __________________________________________________________________
4. Home telephone ___________________________________________________________
5. To whom did you last present this complaint? ____________________________________
Date of conference _____________________
6. If you will be represented by a parent or other adult in pursuing your complaint, please identify the person representing you.
Name ________________________________________________________________
Address ________________________________________________________________
________________________________________________________________
Telephone ________________________________________________________________
7. Attach a copy of your original Level One complaint.
8. Attach copies of the Level One and Level Two decisions.
____________________________________ ___________________________________
Student or Parent Signature Date Submitted