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17Questions
  • 1
    Your name:
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    Mailing address for documentation if applicable:
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  • 4
    Best phone number to reach you at:
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  • 5
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  • 6
    Name of person you are submitting complaint for:
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  • 7
    Best number to reach the person you are submitting this complaint for:
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  • 8
    Provide the school site name:
    • iEmpire Academy (K-5th in San Bernardino)
    • Journey School (K-6th in Moreno Valley)
    • New Vision Middle (6th-8th in Highland)
    • Entrepreneur High (9th - 12th in Highland)
    • Entrepreneur High Fontana (9th - 12th in Fontana)
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  • 9
    Please inform us if this complaint has been previously reported to any school site staff members?
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  • 10
    Type of complaint you want to report (check those that apply):
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  • 11
    Unlawful discrimination, including discriminatory harassment, intimidation, or bullying, based on actual or perceived characteristics of the following
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  • 12
    Retaliation against an already made complaint or other participant in the complain process or anyone who has acted to uncover or report a violation subject to the complaint procedure?
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  • 13
    Please provide as much details as you can including names of staff/student/parents, school site, dates and times.
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  • 14
    Names if available, if not, please let us know their title (example: Principal, Vice Principal, Office staff, after school prgoram staff, campus aide, lunch staff, etc.)
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  • 15
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  • 16
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  • 17
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