Step 1 Grievance

School ________________________________________ District ___________________________

Name of Grievant _________________________________________________________________

Title (teacher, guidance counselor, etc.) ________________________________________________

File number __________________________________

Date grievance occurred ________________________________

Set forth specifically the act or condition and the grounds on which the grievance is based:

Specific contractual article and section alleged to be violated:

Specific remedy sought:

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_________________________________

(Signature of Grievant)

Date filed:

GRIEVANCE CONFERENCE

Date:

Attendees:

Name Title

Decision including supporting reason: