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AC-E NON-DISCRIMINATION / EQUAL OPPORTUNITY COMPLAINT FORM

If you feel that you have been discriminated against on the basis of, race, color, religion, sex, sexual orientation, gender identity, age, national origin, or disability, please let ASDB know using this form. This complaint process applies to members of the public, students, staff, and when concerning educational programs or services. Your complaint will be forwarded to either the ASDB Complaints Officer or to the Human Resources Office (depending on whether you are a staff member, student, or other member of the public).

  • MM slash DD slash YYYY
  • Indicate what you think can and should be done to solve the problem. Be as specific as possible.
  • I certify that this information is correct to the best of my knowledge.

  • Please type in your name for your electronic signature
  • Max. file size: 400 MB.
  • The compliance officer, as designated in AC-R, shall give one (1) copy to the complainant and shall retain one (1) copy for the file.