Otsego Area School of Practical Nursing Grievance Form
Occupational and Continuing Education
ONC BOCES PN Program
Otsego Area School of Practical Nursing
Grievance Form
Date: ______________________________
To: ________________________________________,
I, ____________________________, am filing a grievance regarding the following ONC BOCES PN Student (print your name)
right(s), list the page number(s) from the current ONC BOCES PN Program Student Handbook which describes the right(s) that you believe have been violated:
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Date of Occurrence: ______________________________
Site of Occurrence: _______________________________
Give a brief description of incident: __________________________________________
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Student’s Signature