ACS WASC Complaint Form

Date*
MM slash DD slash YYYY
Name*
First Last
Email*
Enter Email Confirm Email
Phone
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Complaint Against (Name of School/Institution)*
School/Institution Address
Street Address City State / Province / Region ZIP / Postal Code Country
Briefly state the nature of your complaint:*
What is your desired outcome in filing this complaint?*
Please confirm that you have exhausted all grievance/complaint procedures:*
Yes, I have met with the school administration and the issue remains unresolved.
*
Yes, I have met with representatives of the governing board and the issue remains unresolved.
*
Yes, I have contacted any other district officials, association officials, etc. (if applicable) to seek their assistance in resolving this matter.
*
Yes, I have read the ACS WASC policies regarding complaints on its website (www.acswasc.org/acs-wasc-complaint-process/) and believe that this issue is under the jurisdiction of ACS WASC.
Please provide details of meetings, individuals involved, and possible outcomes that you believe are necessary to resolve the matter. Also, attach any additional supporting documents/evidence to substantiate your claim.
File (Optional)
Max. file size: 1 GB.
Certification*
I certify that the information presented above and attached hereto is true, accurate, and complete to the best of my knowledge.
Signature*