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Cleveland DSA Harassment/Grievance Complaint and Code of Conduct Violation Reporting Form
This form is for all Cleveland DSA members to anonymously report a harassment grievance or other kind of grievance complaint to the chapter HGOs.
This form is also for reporting violations of the Cleveland DSA Code of Conduct: (
https://docs.google.com/document/d/1DISB5Bwpk55XLTwOQv4YWZFNNmNTBbA09NaLXHWF4wI/edit?usp=sharing
)
Only Cleveland DSA chapter HGOs can see the responses to this form.
Complaints can also be emailed to
hgo@dsacleveland.org
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* Indicates required question
What is the nature of the complaint?
*
Code of Conduct Violation
Harassment Grievance
Other
How severe is the situation?
*
It could wait a few days
I am moderately concerned and would like something done as soon as possible
I believe myself or someone else has been or could be harmed
Other
How would you like an HGO to contact you?
*
Your answer
Would you like a specifically female HGO to contact you?
*
Female
Doesn't Matter
If you would like to briefly describe the situation below feel free to use this space to do so.
Your answer
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