Title IX Form
This form is to file an official complaint with the Title IX coordinator based on sexual harassment that occurred within the school district's program or activity. Formal complaints must be submitted by a complainant or the Title IX coordinator.  Complainant means an individual who is alleged to be the victim of conduct that could constitute sexual harassment.  Respondent means an individual who has been reported to be the perpetrator of the conduct that could constitute sexual harassment. Formal Complaints must be filed with the Title IX coordinator in accordance with board policy.  

*Denotes a response which is required in order for the formal complaint to initiate the Title
IX grievance procedures and investigatory process. All other fields are optional.
This Formal Complaint form is provided for the convenience of those who wish to submit a
formal complaint alleging sex harassment under Title IX. However, complainants are not
required to submit formal complaints using this form. A formal complaint is any document
alleging sexual harassment against a respondent and requesting that the district investigate
the allegation of sexual harassment which bears the complainant’s physical or digital signature
or other indicia that the complainant is the individual submitting the complaint and is
submitted to the Title IX Coordinator in person, by mail, by electronic mail, by delivery to the
contact information provided for the Title IX Coordinator, or by other designated method of
delivery.
Individuals alleging discrimination which does not constitute sex harassment under Title IX
should refer to the district’s general complaint and nondiscrimination policies.
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Email *
Complainant *
Respondent (s) *
Summary of Alleged Sexual Harassment *
Location of Alleged Sexual Harassment *
Date of Alleged Sexual Harassment *
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Other Individuals with Relevant Information or Knowledge *
Do you request an Investigation? *
Required
A complaint that is filed will be addressed by the school. If it progresses to an investigation, a letter will be sent to each party's family describing this Title IX complaint that is filed above. By checking the box below you agree to these terms. *
Required
Digital Signature- please type your name below as a digital signature *
Today's Date *
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