WOODSTOCK PUBLIC SCHOOLS DISCRIMINATION


WOODSTOCK PUBLIC SCHOOLS. DISCRIMINATION COMPLAINT FORM. (For complaints based on race, color, religion, age, sex, marital status, sexual ...

WOODSTOCK PUBLIC SCHOOLS DISCRIMINATION COMPLAINT FORM (For complaints based on race, color, religion, age, sex, marital status, sexual orientation, national origin, ancestry, disability (including pregnancy), genetic information, or gender identity or expression) Name of the complainant

________________________________________________

Date of the complaint ______________________________________________________ Date of the alleged discrimination/harassment

______________________________

Name or names of the discriminator(s) or harasser(s)

________________________

________________________________________________________________________ Location where such discrimination/harassment occurred

________________________

________________________________________________________________________ Name(s) of any witness(es) to the discrimination/harassment

Detailed statement of the circumstances constituting the alleged discrimination or harassment __________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ __________________________________________ Proposed remedy:_________________________________________________________

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