1. I AFFIRM THAT THE INFORMATION PROVIDED BY ME ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE, INFORMATION AND BELIEF.
2. I, (NAME LISTED ABOVE), currently reside at (LISTED ABOVE). By submitting this document, I affirm that I understand and agree with it.
a. I understand that Community Voices for Public Education is a non-profit, voluntary organization of parents, teachers, students and community members committed to improving public education.
b. Filling out this form is not the same as filing a complaint with a federal or state agency. However, if the issue you are writing about violates state or federal law, CVPE can connect you with organizations that will help you file your federal or state complaint. Whatever rights I have to file a complaint with an administrative agency or to file a civil lawsuit are completely unaffected by whether or not I have filled out this form.