Sexual Harassment Complaint Form (OPTIONAL)

The Burlington-Edison School District prohibits harassment, intimidation, bullying, sexual harassment and sexual misconduct of students, employees and other involved in school district activities. Harassment can occur, adult to student, student to adult, student to student, adult to adult, male to female, female to male, male to male and female to female.

Any individual who believes he or she has been harassed, intimidated or bullied is encouraged to:

  • directly inform the alleged harasser to eliminate the offensive, unwelcome behavior OR

  • report allegation(s) orally to the Building Principal, Superintendent or Title IX Officer OR

  • report allegation(s) in writing.

No person shall be retaliated against for making a report of harassment or for providing testimony or assisting in the investigation report.

Please answer all questions as completely as possible. Return completed form to your Building Principal, Assistant Superintendent or Title IX Officer.

Note: this form is optional and is not required to submit a complaint.

Persons found to knowingly report false allegations will be subject to disciplinary action.

A copy of this form will be distributed to the Title IX Compliance Officer.