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This form allows students and applicants for admission to file complaints alleging violations of the CSU systemwide policy prohibiting discrimination, harassment, and retaliation. It outlines the
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How to fill out Student/Applicant for Admission Discrimination/Harassment/Retaliation Complaint Form

01
Begin by obtaining the Student/Applicant for Admission Discrimination/Harassment/Retaliation Complaint Form from the appropriate office or website.
02
Fill out your personal information at the top of the form, including your name, contact information, and student ID (if applicable).
03
Provide details about the incident, including the date, time, and location where the discrimination, harassment, or retaliation occurred.
04
Describe the nature of the complaint clearly and concisely, outlining what happened and how it affected you.
05
Include the names and contact information of any witnesses or individuals who may have relevant information regarding the incident.
06
Specify the desired outcome or resolution you are seeking through this complaint.
07
Review the completed form for accuracy and completeness before submission.
08
Submit the form to the designated office or individual as instructed, either in person or via email.

Who needs Student/Applicant for Admission Discrimination/Harassment/Retaliation Complaint Form?

01
Any student or applicant who feels they have experienced discrimination, harassment, or retaliation related to their admission process or status.
02
Individuals seeking to formally document their grievances regarding unfair treatment based on race, gender, sexual orientation, disability, or other protected categories.
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Examples of harassment include offensive or derogatory jokes, racial or ethnic slurs, pressure for dates or sexual favors, unwelcome comments about a person's religion or religious garments, or offensive graffiti, cartoons or pictures.
Go to your local police or sheriff's department. If the incident has already ended, report the harassment in person at your local police or sheriff's department. Take any evidence you have of the harassment along with you.
In the first paragraph, introduce yourself and state your grievance about the problematic recent events. In the following body of text (typically 2-3 paragraphs) recount each incident of workplace harassment exactly as you remember it (even if profane language was involved).
What to Include in the Formal Complaint. Your discrimination complaint must contain the following: Your name, address, and telephone number; A short description of the events that you believe were discriminatory (for example, you were terminated, demoted, harassed);
Information To Include in Your Letter Give the basics. Tell your story. Explain how you want to resolve the problem. Describe your next steps. Send your complaint letter. [Your Mailing Address] [Your City, State, Zip Code] [Your email address]
Basic rules keep your letter to the point. You need to give enough detail for your employer to be able to investigate your complaint properly. keep to the facts. never use abusive or offensive language. explain how you felt about the behaviour you are complaining about but don't use emotive language.

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The Student/Applicant for Admission Discrimination/Harassment/Retaliation Complaint Form is a formal document used by students or applicants to report incidents of discrimination, harassment, or retaliation that they believe have occurred in the context of education or admission.
Any student or applicant who believes they have experienced discrimination, harassment, or retaliation based on protected characteristics such as race, gender, religion, disability, or sexual orientation is required to file this form.
To fill out the form, individuals should provide their personal information, details of the alleged incident, including dates, locations, and the names of those involved. They should also describe the nature of the discrimination or harassment and any evidence or witnesses they may have.
The purpose of the form is to initiate a formal investigation into the reported incidents of discrimination or harassment, to ensure that the institution addresses these issues appropriately, and to protect the rights of affected students and applicants.
The form must report the complainant's personal details, a detailed account of the incident(s), the names of individuals involved, the dates and locations of the incidents, any relevant evidence or documentation, and a description of the impact the incident had on the complainant.
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