Nondiscrimination/Equal Opportunity(Complaint Form): AC-E-2
- Foundations Commitment: A
Date:__________________________________________
Name of complainant:_____________________________
School:_________________________________________
Address:________________________________________
Phone:_________________________________________
Summary of alleged unlawful discrimination or harassment:
Name(s) of individual(s) allegedly engaging in prohibited conduct:
Date(s) alleged prohibited conduct occurred:
Name(s) of witness(es) to alleged prohibited conduct:
If others are affected by the possible unlawful 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 unlawful discrimination or harassment. You may also provide other information relevant to this complaint.
Signature of complainant _______________________________
Date________________________
Signature of person receiving complaint____________________
Date________________________
Revised: August 15, 2020