FORMAL COMPLAINT OF SEXUAL HARASSMENT PROHIBITED BY TITLE IX – FORM
Formal Complaints of Title IX Sexual Harassment may be filed with the Title IX Coordinator in person, by
mail, or by email and must be in writing. ALL FIELDS on this form must be filled out.
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Email *
Complainant's Name and Address
Name *
Street Address *
City, State, Zip *
Phone Number *
Complainant's Parent/Guardian Name and Address
If the Complainant is under the age of 18 years old, please provide contact information for the Complainant's parent/guardian below.
Name
Street Address
City, State, Zip
Email Address
Phone Number
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