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Goodwill Central Texas Client Formal Complaint/Grievance Form
1.
Your Name
2.
Address, City & Zip Code (optional)
3.
Phone Number
4.
Email Address
5.
Would you like to be contacted by Goodwill staff regarding this complaint?
Yes
No
6.
Date of event related to the complaint/grievance
Date / Time
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
7.
Location
Goodwill Community Center (Norwood & Clock Tower)
Goodwill Resource Center (Burleson Road)
Round Rock Job Help Center
San Marcos Job Help Center
Rosewood Job help Center
Georgetown Community Resource Center
Oak Hill Job Help Center
Other (please specify)
8.
Reason for Complaint
Age
Citizenship
Disability
Ethnicity
National Origin
Political Affiliation or Belief
Race
Religon
Gender
Other (please specify)
*
9.
Please describe the event(s) that led you to file a complaint
(Required.)
Current Progress,
0 of 9 answered