Fillable Discrimination/harassment Complaint Form printable pdf download

Discrimination/harassment Complaint Form

Download a blank fillable Discrimination/harassment Complaint Form in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Discrimination/harassment Complaint Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

Princeton University

Discrimination/Harassment Complaint Form

Princeton University prohibits acts of discrimination or harassment based on protected characteristics such as race,

color, sex, sexual orientation, gender identity or expression, age, national origin, religion, disability, veteran status, or

other characteristic protected by law. These behaviors, as well as any related retaliation, violate the

University’s

Nondiscrimination/Anti-Harassment

Policy. The University has an obligation to make reasonable efforts to

investigate and address complaints or reports of prohibited conduct.

If you wish to use this form to make a complaint or report of discriminatory or harassing treatment covered by the

policy, please provide the following information:

Your name: _______________________________________________________________________________

Address: __________________________________________________________________________________

Preferred Telephone Number: ____________________

Preferred Email: ____________________________

Are you:

Undergraduate Student

Faculty

Other (please specify) _______________________

Graduate Student

Staff

Describe in as much detail as possible the event(s) that occurred (attach additional sheets if necessary), including:

•

The name(s) of all parties involved

•

The name(s) of any witnesses or individuals who may have knowledge of the event(s)

•

The date and location of the event(s)

_____________________________________________________________________________

What action/remedy are you seeking?

_____________________________________________________________________________

Please return to:

Cheri Burgess

Submit here

SUBMIT

Office of the Provost

204 Nassau Hall

Princeton, NJ 08544

Discrimination/harassment Complaint Form

Related Articles

Related forms

Related Categories