Discrimination, Bullying, Harassment, and Hazing Complaint Form Board Policy 504.4-E and 103-E

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The complainant is a *
Nature of alleged discrimination, bullying, harassment, or hazing (select all that apply) *
Have you reported this to anyone else *
My name below signifies that I agree all of the information on this form is accurate and true to the best of my knowledge.
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Nondiscrimination Statement
The Sioux City Community School District is an equal opportunity/affirmative action employer. It is an unfair or discriminatory practice for any educational institution to discriminate on the basis of race, creed, color, sex, sexual orientation, gender identity, national origin, religion, age (for employment), disability, socioeconomic status (for programs), marital status (for programs), or veteran status in its educational programs and its employment practices.  Inquiries or grievances may be directed to Jen Gomez, Director of Student Services & Equity Education at 627 4th Street, Sioux City, IA 51101, (712) 279-6075, gomezj2@live.siouxcityschools.com.