
Name
__________________________________ Date
__________________________
(All anonymous feedback is disregarded.)
I would like to share a Commendation.
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____ I would like this shared with the people
involved and placed on file with the preschool’s records.
____ I would like this shared with the FUM
Preschool Board.
I would like to share a Concern.
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____ I have spoken to the teacher about this
concern (if applicable).
____ I have spoken to the director about this
concern.
____ I have filed a grievance with the director
about this concern.
____ I have filed a grievance with the preschool
board chair about this concern.
Please use additional sheet
if necessary. Thank you for your input.