Compass Montessori Title IX Complaint Form 2023 - 2024
Title IX of the Education Amendments of 1972 (20 U.S.C. § 1681) is an all-encompassing federal law that prohibits discrimination based on the gender of students and employees of educational institutions which receive federal financial assistance. When the form has been completed and signed by you, and then signed by the Title IX Coordinator or a Deputy, your complaint has been properly received and noted by Jeffco Public Schools. You will automatically be provided with a copy of your response. This form is only for people filing a complaint of their own or for parents/guardians filing on behalf of their own student.  You can find complete information about the Title IX complaint process, requirements, and timelines, at www.compassmontessori.org/titleix
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Email *
First & Last Name 
Phone Number
I am filing a complaint as: 
(Regardless of your choice below, this complaint will be reviewed by our Title IX Coordinator and kept confidential per the official Title IX procedures.) 
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First and Last Name of the subject of the complaint.  

(Name of person or persons you believe committed the offense against you and how you have contact with them, such as fellow student, supervisor, co-worker, staff member, etc.)
Date of alleged incident or time frame of alleged incident. 
Have you brought this matter to the attention of any other staff at the school, police, or social services? If so, please list the name(s), email address and/or phone number of all persons with whom you have discussed this matter.
List of Witnesses to the alleged incident. Please list names and contact information of any staff or student who witnessed the incident(s).

Where did this incident occur? 
I affirm the report above is true and correct.

(Please type full name below to acknowledge and agree that the above report is true.)
A copy of your responses will be emailed to the address you provided.
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