(The fairness hearing form must be printed and signed and should be given to the agenda chair)

 

FAIRNESS COMMITTEE

Hearing Request Form:

 

Name (Print): _______________________________

Class___________

Date______________________

 

 

Other party/parties involved:

 

 

 

On what grounds are you requesting a hearing? Explain, as objectively as you can, the specifics of the incident and why you have been treated unfairly or unjustly.

 

 

 

 

 

 

 

 

 

Your Signature: ______________________________________

 

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 

Hearing Granted: _______                            Hearing Not Granted: _______

 

Reasoning:



 

 

Signature:__________________________________ Chair, Fairness Committee

 

Signature:__________________________________ Chair, Fairness Committee