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Title IX Complaint Form

Required

The District complies with the Civil Rights Laws, including but not limited to Title IX of the Education Amendments of 1972. It is the express policy of the board of education to encourage student victims of sexual harassment to come forward with such claims.

Students who feel that administrators, supervisors, support personnel, teachers, or other students are subjecting them to sexual harassment are encouraged to report these conditions or have their parents report these conditions, to the Title IX Coordinator. Any employee to whom such a report was made will provide notice of the report to the Title IX coordinator.

Title IX complaints can be submitted by contacting the Title IX Coordinator in person, by mail, by phone, by submitting this form, or by email at the contact information provided below:

Mark Officer 
Assistant Superintendent

Address: 1501 North Ash Street
Owasso, OK 74055
Phone: (918)272-5367
Email: mark.officer@owassops.org

Complainant's Personal Information

Complainant's Name (Legal)required
First Name
Last Name
Street Address City, State Zip Code

Respondent's Information

Please list the individual(s) alleged to have engaged in sexual harassment/prohibited conduct.

Complainant's Concern

Type of Complaintrequired
Dates Incident(s) Occurred
Must contain a date in M/D/YYYY format
Skip to other if ongoing (Must contain a date in M/D/YYYY format)
Other

Instructions for Nature of Complaint

Please specifically describe your complaint against the named person(s) in the previous section, including how the person(s) sexually harassed you or retaliated against you. Please describe the behavior, comments, or incidents that caused you to file your complaint (Identify: Who, What, When, and Where).
0 / 1000

Witness Information

Please identify witnesses to the incident(s) or those who have knowledge of the incident(s). Please attach additional names if needed.

Witness Name #1required
First Name
Last Name
Witness Name #2
First Name
Last Name
Attestationrequired
Must contain a date in M/D/YYYY format