EQUAL EDUCATIONAL OPPORTUDISPOSITION OF COMPLAINT FORM
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Date:
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Date of initial complaint:
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Name of Complainant (include whether the Complainant is a student or employee): |
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Date and place of alleged incident(s): |
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Name of Respondent (include whether the Respondent is a student or employee): |
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Nature of discrimination, harassment, or bullying alleged (check all that apply):
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Age |
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Race/Color |
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Disability |
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Sex |
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Religion/Creed |
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Sexual Orientation |
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Marital Status |
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Socio-economic Background |
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National Origin/Ethnic Background/Ancestry |
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Race/Color |
Summary of Investigation: _______________________________________________________________
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I agree that all of the information on this form is accurate and true to the best of my knowledge.
Signature: _____________________________________ Date: _________________________
Cross Reference:
101 Educational Philosophy of the School District
104 Anti-Bullying/Harassment Policy
104R1 Anti-Bullying/Harassment Policy - Investigation Procedures
104E1 Anti-Bullying/Harassment Policy - Complaint Form
104E2 Anti-Bullying/Harassment Policy - Witness Disclosure Form
104E3 Anti-Bullying/Harassment Policy - Disposition of Complaint Form
401.01 Equal Employment Opportunity
502.03 Student Expression and Student Publications Code
502.03R1 Student Expression and Student Publications Code - Regulation
506.01 Education Records Access
506.01R1 Education Records Access - Regulation
506.01E1 Education Record Access - Request of Nonparent for Examination or Copies of Education Records
506.01E2 Education Records Access - Authorization for Release of Education Records
506.01E3 Education Records Access - Request for Hearing on Correction of Education Records
506.01E4 Education Records Access - Request for Examination of Education Records
506.01E5 Education Records Access - Notification of Transfer of Education Records
506.01E6 Education Records Access - Letter to Parent Regarding Receipt of a Subpoena
506.01E7 Education Records Access - Juvenile Justice Agency Information Sharing Agreement
506.01E8 Education Records Access - Annual Notice
603.01 Basic Instruction Program
603.04 Multicultural/Gender Fair Education
802.05 Buildings & Sites Adaptation for Persons with Disabilities
Approved: 8/8/2016 Reviewed: 02/24/2026 Revised: 02/24/2026