Complaint Form for Discrimination or Harassment- Formulario de denuncia por discriminación u acoso

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Email *

Name of reporter/ Nombre del denunciante: *

Reporter's address/ Dirección del denunciante: *

Reporter's phone number/ Número telefonico del denunciante: *

School/Escuela:

Lake School/ Escuela de Lake

Gunnison Elementary School/ Escuela Primaria de Gunnison

Gunnison Middle School/ Escuela Intermedia de Gunnison

Gunnison High School/ Escuela Secundaria de Gunnison

Crested Butte Elementary School/ Escuela Primaria de Crested Butte

Crested Butte Secondary School/ Escuela Secundaria de Gunnison

School District/ Distrito Escolar

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Summary of alleged unlawful discrimination or harassment, including date conduct occurred/ Resumen de la presunta discriminación u acoso ilegal incluyendo fecha en que dicha conducta sucedió: *

Name(s) of individual(s) allegedly engaging in prohibited conduct/ Nombre(s) de lo(s) individuo(s) que presuntamente estuvieron involucrados en esta conducta prohibida:

Name(s) of witness(es) to alleged prohibited conduct/ Nombre(s) de lo(s) testigo(s) de la presunta conducta prohibida:

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