Section 1.4.F.1 - Sexual Harassment Complaint Form
DYSART Unified School District ("the District") complies with federal and state laws prohibiting unlawful discrimination based on race, color, national origin, sex, disability and age in its programs and activities. Any person that believes they have been harassed or discriminated against based on his/her sex can file a complaint under this procedure by contacting the District's Title IX Coordinators as follows:
Mr. Steve Mattingly Director of Human RelationsTitle IX Coordinator15802 North Parkview PlaceSurprise, Arizona 85374(623) 876-7876Steven.Mattingly@dysart.org
1. Describe the alleged sexual harrasment in specific terms.
a. The specific incident or activity that is alleged to be in violation of Title IXb. The name of all individuals involved.c. Dates, times, and locationd involved.
2. Describe any relevant communication that has already occurred to address this issue. Please specify the types of communication, dates, and names of individuals with whom any communication has occurred.
3. Do you want this Complaint to be formally investigated and addressed by the School?
If 'No', please clarify:
Reference: Section 1.4, Form 1.4.F.1