DCSD Nondiscrimination/Equal Opportunity Form
In instances where a student, employee, or member of the public is subject to discrimination or is an observer if discrimination in a school environment, an individual can fill out this form to bring the incident to an administrator's attention. This form has been created so changes can be made to create an inclusive and equitable school environment that all can enjoy and thrive in. Please complete the information below. We appreciate you speaking up.
Email address *
Today's date: *
MM
/
DD
/
YYYY
Name of Complainant: First and Last Name (Your name and information will remain confidential.): *
School Name: *
Complainant 10 Digit Phone Number:
Complainant Email Address:
Next
Never submit passwords through Google Forms.
This form was created inside of Delta County School District. Report Abuse