GCSD Report of Sexual Harassment
This report is confidential and will be maintained by the District within the limitations outlined in Policy DKB. Reports are forwarded immediately to the District Title IX Coordinator. Submitting a report will not affect your future employment or work assignments. Retaliation against anyone who reports is prohibited. If the complaint involves the building principal, file directly with the Title IX Coordinator.
Your Name
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First Name
Last Name
Your Contact Information (Phone or Email)
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Your Role
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Employee
Student
Visitor
Third party with knowledge
Are you reporting on behalf of someone else?
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Yes
No
If yes, who are you reporting on behalf of?
Person(s) the report is about
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Date(s) of Incident(s)
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Location of Incident(s)
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Description of the Conduct
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Witnesses, if any
Signature
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Date
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-
Month
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Day
Year
Date
Submit Report
Submit Report
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