EXHIBIT D

NOTICE OF APPEAL TO THE BOARD AT LEVEL FOUR

This form must be filled out completely by a student or parent appealing a Level Three 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, Level Two, and Level Three decisions.

____________________________________      ___________________________________

Student or Parent Signature                                        Date Submitted