Nondiscrimination/Equal Opportunity Complaint Form (Policy AC-E-2)

Required

Reference Policies

Policy AC: Nondiscrimination/Equal Opportunity
Policy AC-E-1: Nondiscrimination/Equal Opportunity

Nondiscrimination/Equal Opportunity Complaint Form, Policy AC-E-2 Last Revision: March 11, 2025

Date

Must contain a date in MM/DD/YYYY format

Name of complainantrequired

First Name

Last Name

School

Address:

Phone number:

Please check here for allegations of sexual discrimination and/or sexual harassment.

Note: Investigator will use investigation procedures consistent with allegations of sexual discrimination and/or sexual harassment.

Summary of alleged discrimination or harassment:required0 / 1000

Name(s) of individual(s) allegedly engaging in prohibited conduct:required0 / 1000

Date(s) alleged prohibited conduct occurred:required

Name(s) of witness(es) to alleged prohibited conduct:

If others are affected by the possible discrimination or harassment, please give their names:

Your suggestions regarding resolving the complaint:

Please describe any corrective action you wish to see taken with regard to the alleged discrimination or harassment. You may also provide other information relevant to this complaint.0 / 1000

By typing my name below and selecting “I accept”, I am signing this agreement electronically, and I agree that my electronic signature is the legal equivalent of my manual signature on these agreements. I specifically agree that any electronic signatures that I provide through this online process are valid and enforceable as my legal signature. I acknowledge that these electronic signatures will legally bind me to the terms and conditions contained in the related documents just as if I had physically signed the same documents with a pen. I agree that no certification authority or other third party verification is necessary to validate my e-signature and the lack of such certification or third party verification will not in any way affect the enforceability of my e-signature or this Agreement.required

I accept

Electronic Signaturerequired