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Code No. 545 Exhibit A Page 1 of 2 STUDENT DISCRIMINATION, HARASSMENT OR BULLYING COMPLAINT FORM Please complete the following as fully as possible. If you need assistance, contact the compliance
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How to fill out student complaint form-harassment:

01
Start by reviewing the instructions provided with the form. This will give you a clear understanding of the information required and the process to be followed.
02
Begin by filling out your personal details such as your name, contact information, and student identification number. Ensure that you provide accurate and updated information.
03
Next, describe the incident of harassment in detail. Be specific about the date, time, and location of the incident. Include the names of any individuals involved or witnesses present. Provide a clear account of what happened, using objective language and avoiding personal opinions or judgments.
04
Use additional space provided or attach additional pages if needed to fully explain the incident. Use clear and concise language, focusing on the facts and the impact the harassment had on you.
05
Outline any steps you have taken to address the situation, such as reporting it to a teacher, counselor, or school administrator. If you have any supporting evidence, such as emails, text messages, or photographs, make sure to mention these in your complaint.
06
Indicate the action you would like the school or institution to take in response to your complaint. This could include disciplinary actions against the harasser, implementation of preventive measures, or providing you with necessary support services.
07
Finally, sign and date the complaint form. Make a copy for your records before submitting it to the appropriate office or authorities.

Who needs student complaint form-harassment?

The student complaint form-harassment is designed for students who have experienced or witnessed harassment within an educational institution. It provides a platform for them to document and report the incident, ensuring that their concerns are taken seriously and appropriate actions are taken to address the issue. Any student who has faced harassment, ranging from bullying, discrimination, or any form of unwanted behavior, should utilize the student complaint form-harassment to seek resolution and justice.
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The student complaint form-harassment is a document that allows students to report instances of harassment or discrimination.
Any student who has experienced harassment or discrimination is required to file the student complaint form-harassment.
To fill out the student complaint form-harassment, students need to provide details about the incident, including date, time, and description of the harassment.
The purpose of the student complaint form-harassment is to provide an avenue for students to report incidents of harassment and for the school to take appropriate action.
Students must report details of the harassment incident, contact information, and any witnesses to the harassment.
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