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GRIEVANCE REPORT FORM
DISCRIMINATION IN EDUCATION OR EMPLOYMENT, HARASSMENT,
RELIGIOUS OBSERVANCES OR VIOLENCE REPORT FORM
The Minnesota State Colleges and Universities (Mn SCU) System is committed
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How to fill out grievance report form discrimination

How to fill out grievance report form discrimination:
01
Start by obtaining a copy of the grievance report form. This can usually be obtained from your employer, human resources department, or an equal employment opportunity agency.
02
Read the form carefully and familiarize yourself with the instructions and requirements. This will ensure that you provide all the necessary information and follow the correct procedure.
03
Begin by clearly stating your personal details, including your name, contact information, and employee or student identification number, if applicable. This will help the relevant authorities identify and reach out to you regarding the discrimination complaint.
04
Specify the date and time of the incident(s) in question. Provide a detailed description of what occurred, including the nature of the discrimination, any witnesses present, and relevant supporting evidence such as emails, text messages, or photographs, if available.
05
Indicate the individuals involved in the incident, such as the alleged discriminator(s) and any supervisors or colleagues who might have witnessed or contributed to the discriminatory behavior.
06
If applicable, outline any previous attempts made to address the discrimination issue, such as informal conversations with supervisors or human resources representatives. This will demonstrate that you have already attempted to resolve the problem without success.
07
Explain the impact that the discrimination has had on you, both personally and professionally. Describe any emotional, financial, or career-related consequences you have experienced as a result of the discriminatory behavior.
08
Sign and date the grievance report form to confirm that the information provided is accurate and true to the best of your knowledge. Make a copy of the completed form for your records, as well as any supporting documents you have included.
09
Submit the grievance report form and supporting documents to the appropriate authority, as indicated on the form. This could be your employer, human resources department, or an equal employment opportunity agency. Follow any additional instructions provided for submission, such as mailing, emailing, or delivering the form in person.
Who needs grievance report form discrimination?
01
Employees who have experienced discrimination in the workplace and wish to report it officially.
02
Students who have faced discriminatory behavior from teachers, staff, or peers and want to file a complaint.
03
Applicants who believe they were discriminated against during the hiring process and want to seek redress.
04
Individuals who have witnessed or become aware of discrimination against others and want to provide evidence or support through a grievance report.
05
Victims of discrimination who want to create a formal record of the incident for future reference or legal purposes.
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