SEXUAL HARASSMENT FORMAL COMPLAINT FORMName and position of complainant Date of complaint Name of alleged sexual harasser Date and place of incident Description of misconduct Name of witnesses (if any) Has the incident been reported before? If yes, when? to whom? What was the resolution? Reasons for dissatisfaction Note: Exhibit addedPolicy Adopted: January 29, 1997 Wayne Central School District
Allowed
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ctewinkle
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EduTech School Districts 
