Your Contact Information
First Name*
Last Name*
Phone Number*
Email
Student Information
Please fill out this section completely with student name and other details. ONLY use N/A if the issue does not impact your individual child or a child you are working with, for example, a building rental concern.
School
Student name or student ID*
Grade*
Gender*
Ethnicity (How do you identify?) *
How are you related to the student?*
Parent or guardian Self Other Not Applicable
If you selected other, please describe your relationship to the student.
Your Question or Concern
Please select the option that best describes who your issue is with *
Admission/Enrollment/Transfer
Advanced Learning
Athletics
Nutrition Services
School Staff or Administration
Special Education Services
SPS or School Building/Facilities
Summer School Program
Technology Services
Transportation
Other
If you selected other, please specify.
Please select the “category type” that best describes your main issue for reaching out *
Academics
Accommodations (504 or IEP)
Attendance
Bullying
Class Room
Competency or Leadership
Customer Service (Response time, Staff Professionalism, Follow up, etc.)
Discrimination, Unfair Treatment or Equity issue
Facility or Grounds Issue (SPS or School)
Graduation
Late or No show
Policy or Process
Safety
Student Discipline
School (or District) and Family Collaboration/Partnership
Test Score/Grade/Assessment
Other
If you selected other, please specify.
Have you talked to the school principal or program/department manager regarding your concern? *
Yes
No
Who have you talked to directly about your concern? Please specify name and title of the staff member you spoke with.
Briefly describe your main concern or question.*
Ideally, how would you like to see this resolved?*
By checking the box below, I affirm that I am submitting this information in good faith and that I am reaching out for assistance with getting an answer to my question or concern. I give permission for the information I provided to be shared with other Seattle Public Schools employees who could potentially assist with answering my question or resolving my concern. *
Yes No Not at this time
If you selected "no" or “not at this time,” please explain below.
(Please keep in mind that if you say no the potential of getting your question answered or problem resolved in a timely manner or at all is limited.)
Referral
How did you hear about the Seattle Public Schools Ombudsperson or who referred you to the ombudsperson?*