PENN-TRAFFORD SCHOOL DISTRICT

Sexual Harassment Part 2

APPENDIX B

FORM FOR STEP 2

ADMINISTRATIVE HEARING ON SEXUAL HARASSMENT,
HARASSMENT BASED ON RACE, NATIONAL ORIGIN,
DISABILITY AND RELIGION, AND HARASSMENT BASED ON
BULLYING AND INTIMIDATION

Penn-Trafford School District
Administrative Hearing on Sexual Harassment, Harassment Based on
Race, National Origin, Disability and Religion and Harassment Based
on Bullying and Intimidation
Claim-Step 2

Present:______________________________ Date:______________________________
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Subject: _________________________________________

Summary of Complainant's Allegations (attach complainant's written statement)
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Summary of Accused's Response (attach accused's written response)
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FINDINGS OF FACT:
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(Attach copy of written recommendations for discipline and warning letter if given)

APPENDIX C

PENN-TRAFFORD SCHOOL DISTRICT
SEXUAL HARASSMENT, HARASSMENT BASED ON RACE,
NATIONAL ORIGIN, DIABILITY AND RELIGION, AND
HARASSMENT BASED ON BULLYING AND INTIMIDATION
COMPLAINT FORM

Penn-Trafford School District
Sexual Harassment,
Harassment Based on Race, National Origin, Disability and Religion,
or Harassment Based on Bullying and Intimidation

Complaint Form

Name:_______________________________ Date:______________________________

School:______________________________ Grade:____________

Position:_____________________________

I would like to make the following complaint: (Describe the problem specifically including the date of the problem, what happened, who was involved, whether there were any witnesses and anything else you believe is important for us to know.)
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Describe how the incident you are complaining about has affected you.
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What would you like to see done about this problem?
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(Signature)

	Sexual Harassment Part 2 APPENDIX B FORM FOR STEP 2 ADMINISTRATIVE HEARING ON SEXUAL HARASSMENT, HARASSMENT BASED ON RACE, NATIONAL ORIGIN, DISABILITY AND RELIGION, AND HARASSMENT BASED ON BULLYING AND INTIMIDATION Penn-Trafford School District Administrative Hearing on Sexual Harassment, Harassment Based on Race, National Origin, Disability and Religion and Harassment Based on Bullying and Intimidation Claim-Step 2 Present:______________________________ Date:______________________________ _________________________________________ _________________________________________ Subject: _________________________________________ Summary of Complainant's Allegations (attach complainant's written statement) _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ Summary of Accused's Response (attach accused's written response) _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ FINDINGS OF FACT: _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ (Attach copy of written recommendations for discipline and warning letter if given) APPENDIX C PENN-TRAFFORD SCHOOL DISTRICT SEXUAL HARASSMENT, HARASSMENT BASED ON RACE, NATIONAL ORIGIN, DIABILITY AND RELIGION, AND HARASSMENT BASED ON BULLYING AND INTIMIDATION COMPLAINT FORM Penn-Trafford School District Sexual Harassment, Harassment Based on Race, National Origin, Disability and Religion, or Harassment Based on Bullying and Intimidation Complaint Form Name:_______________________________ Date:______________________________ School:______________________________ Grade:____________ Position:_____________________________ I would like to make the following complaint: (Describe the problem specifically including the date of the problem, what happened, who was involved, whether there were any witnesses and anything else you believe is important for us to know.) _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ Describe how the incident you are complaining about has affected you. _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ What would you like to see done about this problem? _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________ (Signature)