St. Paul Lutheran Church and School

Board of Trustees

Issues/Suggestion Form

Please complete this form to address an issue or make a suggestion to Board of Trustees for the

maintenance or improvement of our facilities. Please return to the Trustees Mail Box or email to

Vicki Simpson at Citiegrl@aol.com.

Please print clearly.

Name: ________________________________________________________________________________

Phone # or email Address: ________________ _______________________________________________

Date of Request: ________________________________________________________________________

Description of Issue/Suggestion: ___________________________________________________________

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__________________________________________________________________ ___________________

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For Board of Trustees only

Date Received: _____________________________ Date Assigned: _____________________________

Assignee:_______________________________________________________________________________

If Addressing an Issue or Complaint:

Date Addressed: _____________ Action Taken: ______________________________________________

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If a Suggestions is Received:

Date Discussed: _____________ Action Taken: ______________________________________________

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Date of Follow Up to Requestor: ___________ Feedback Provided: _____________________________

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