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Hayward USD |  E  5145.7  Students

Sexual Harassment   

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HAYWARD UNIFIED SCHOOL DISTRICT SEXUAL HARASSMENT REPORT FORM

TO: Principal

FROM

School/Department

1. Identify the offending person or persons

2. Give specific examples of offensive conduct. (If more space is required, please attach additional pages).

3. What remedy are you seeking?

4. Describe the informal efforts you have made to correct the situation described above in Item?

Your signature Date:

Board Policy Reference: 5145.7

Exhibit HAYWARD UNIFIED SCHOOL DISTRICT

adopted: July 6, 1993 Hayward, California

revised: November 13, 2013