Student Grievance

Student Grievance Form

This form is for students to document and report incidents that violate our school policies or otherwise endanger the safety or well-being of our students and staff.

Students must report incidents immediately to a SIMA staff person or complete this form within 24 hours of the occurrence.

We review incident reports within 1-2 business days.

Students may report incidents anonymously.

If this is an urgent situation, please contact Guro Bob immediately or notify Anthony or Makis.

Click HERE to see our Student Policies & Expectations.

Thank you,
Team SIMA

Student Name *

First

Last

Student Email Address *

Student Cell Number *

* Indicates required field

Person(s) involved in the incident. *

Date of Incident *

Time of Incident *

Location of Incident *

Write a detailed account of occurrence. *

State school policies, procedures or guidelines that you feel have been violated. *

Proposed solution to the grievance. *

Did you make a verbal report to management staff: Guro Bob, Anthony or Makis? Please describe. *

Submit