| RESPONSE TO STUDENT COMPLAINT | ||||||||||||||
| Use this form to reply to the Student Complaint Form on which you have been named as the respondent. Please take the time to print or write clearly. | ||||||||||||||
| Your Name: | ||||||||||||||
| Your I.D. Number: | ||||||||||||||
| Today's Date: | ||||||||||||||
Your Response to the Alleged Incident
| Instructions: | Be specific. Please attach to this form any written and signed statements or other evidence which support your description of the alleged grievance. | |||||||||||||
| Form 2530/002 (front) (12/12) | ||||||||||||||
| Response to the Alleged Incident (Continued): | ||||||||||||||
| Signature: _______________________________________ Date: _______________________________ | ||||||||||||||
| Form 2530/002 (back) (12/12) | ||||||||||||||
