TSC Harassment Reporting
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Report Harassment
Name
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required
First Name
Last Name
Your affiliation with the TSC
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required
Staff Member
Parent
Student
Other
Your contact preference
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required
Email
Phone
Email Address
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required
Phone Number
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required
(XXX)XXX-XXXX
Type of Harassment
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required
Disability Harassment
National Origin Harassment
Race/Color Harassment
Religion Harassment
Sexual Harassment
Alleged Victim's Name
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required
First Name
Last Name
Alleged Victim's Affiliation with the TSC
Staff Member
Parent
Student
Other
Alleged Harasser's Name
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required
First Name
Last Name
Alleged Harasser's Affiliation with the TSC
Staff
Parent
Student
Other
Date of Alleged Harassment
Must contain a date in M/D/YYYY format
Location of Alleged Harassment (Name of School, Bus Number, etc...)
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required
Description of Reported Harassment
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Witnesses to the Alleged Harassment (include names and contact information, if available)
What would you suggest as a fair and just outcome to prevent this from happening again (i.e. training, counseling, suspension, expulsion, termination)?
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