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If you are a student who feels that you are a victim of sexual harassment, please let ASDB know using this form. This complaint process applies whether the alleged harasser is another student, a staff member, or a third party. (Parents/Guardians may file this on the student's behalf.) Your complaint will be forwarded to the ASDB Complaints Officer.

  • Reporter’s Information

  • MM slash DD slash YYYY
  • Offender’s Information

  • Witnesses

  • Reporter’s Attempts to address the Alleged Actions of Perpetrator

  • If yes, list the name, job title, work location, telephone number of the student(s) (if you know).
  • Proposed Resolution of Situation

  • Additional Information or Comments

  • MM slash DD slash YYYY
  • Please type in your name for your electronic signature
  • Max. file size: 256 MB.