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SAN JOSE/EVERGREEN COMMUNITY COLLEGE DISTRICT FORMAL DISCRIMINATION COMPLAINT FORM PLEASE PRINT Date COMPLAINANT (Name): Last First Middle Initial Position title (If district employee): Designation:
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How to fill out discriminationsexual harassment complaint form

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How to fill out a discrimination/sexual harassment complaint form:

01
Obtain the form: Contact the appropriate organization or institution that handles discrimination or harassment complaints. Request the discrimination/sexual harassment complaint form from them.
02
Read the instructions: Carefully read the instructions provided with the form. Make sure you understand the purpose and requirements of the form before filling it out.
03
Provide personal information: Fill in your personal details such as your name, address, contact information, and any other required identification details.
04
Describe the incident: Describe the incident of discrimination or sexual harassment in detail. Include the date, time, location, and any witnesses, if applicable. Be concise and specific, providing all relevant information.
05
Identify the perpetrator: Clearly state the name and any other identifiable information of the individual responsible for the discrimination or harassment.
06
State the impact: Explain how the incident has affected you personally, emotionally, and/or professionally. Describe any harm, injustice, or negative consequences that have resulted from the incident.
07
Attach supporting evidence: If possible, attach any supporting evidence such as emails, text messages, photographs, or witness statements that can substantiate your complaint.
08
Sign and date: Once you have completed filling out the form, sign and date it accordingly. This serves as your affirmation that the information provided is true and accurate to the best of your knowledge.
09
Submit the form: Follow the instructions provided to submit the completed form. Ensure that you provide any necessary copies or originals as required.

Who needs a discrimination/sexual harassment complaint form?

01
Employees: Any employee who experiences discrimination or sexual harassment in their workplace can file a complaint using this form.
02
Students: Students who face discrimination or sexual harassment in educational institutions can utilize this form to document and report such incidents.
03
Individuals in public spaces: If you encounter discrimination or sexual harassment in public spaces like restaurants, shops, or public transport, you may need this form to file a formal complaint with the relevant authorities or organizations.
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Discrimination/sexual harassment complaint form is a document used to report incidents of discrimination and/or sexual harassment in the workplace.
Any employee who has experienced or witnessed discrimination or sexual harassment is encouraged to file a discrimination/sexual harassment complaint form.
To fill out the discrimination/sexual harassment complaint form, provide personal information, details of the incident, names of those involved, date and time of the incident, and any supporting evidence.
The purpose of discrimination/sexual harassment complaint form is to provide a formal avenue for employees to report incidents of discrimination or sexual harassment and initiate an investigation.
The discrimination/sexual harassment complaint form requires information such as the employee's name, contact information, details of the incident, names of those involved, date and time of the incident, and any supporting evidence.
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