DSA New Orleans Harassment Grievance Form
According to Resolution 33 adopted by DSA,

Members shall not engage in harassment on the basis of sex, gender, gender identity or expression, sexual orientation, physical appearance, disability, race, color, religion, national origin, class, age, or profession. Harassing or abusive behavior, such as unwelcome attention, inappropriate or offensive remarks, slurs, or jokes, physical or verbal intimidation, stalking, inappropriate physical contact or proximity, and other verbal and physical conduct constitute harassment when:

*Submission to such conduct is made either explicitly or implicitly a term or condition of a member’s continued affiliation with DSA;

*Submission or rejection of such conduct by an individual is used as the basis for organizational decisions affecting such individual; or

*Such conduct has the purpose or effect of creating a hostile environment interfering with an individual’s capacity to organize within DSA.

Resolution 33 also prohibits retaliation against a person who assists someone with a complaint of harassment, or participates in any manner in an investigation or resolution of a complaint of discrimination or harassment. Retaliatory behaviors includes threats, intimidation, reprisals, and/or adverse actions related to organizing.
Name (if you leave this blank, your grievance can be submitted anonymously)
Email where you can be reached (please provide a non-identifying email address--for example, not "first.last.name@gmail"--if you wish to remain anonymous) *
Phone number (optional)
City (optional)
State (optional)
DSA Chapter *
Person(s) (up to five names separated by commas) or DSA body (Local Council, committee, etc) against whom you are filing a grievance, or put "anonymous/unknown." *
Witnesses (up to five names, separated by commas, of people with direct knowledge of the facts relating to your grievance)
My Harassment Grievance (a short summary of what happened) *
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