Complaints

Harassment Complaints

Please use our Geneva CSD Harassment Complaint Form if you would like to submit a complaint of harassment about a school-related incident. Your complaint will be e-mailed to Steve Kruger, assistant superintendent for administrative services.

Submit a Harassment Complaint

Submit a Harassment Complaint

Harassment Complaint Form

Required

Name and position of complainant: required

Address

Home Phone Number:required

Work Phone Number:

E-Mail:

Date complaint filed:required

mm/dd/yyyy (Must contain a date in M/D/YYYY format)

If the alleged harassment was toward another person, identify that other person:

Description of alleged harassment: Describe the incident(s) as clearly as possible, including such things as any verbal statements made (e.g. threats, requests, demands); what, if any, physical contact was involved, etc.required

Date and place of incident(s)required

Were there other individuals involved in the alleged harassment?required

If yes, name the other individual(s) and their role in the alleged harassment:

Name of witnesses (if applicable):

Has the incident been previously reported?

If yes, when and to whom?

Describe the outcome and/or resolution:

Remedy sought by complainant:

TERMS OF ACCEPTANCE and SIGNATURE

Electronic Signature:required

Please type your First and Last Name

Please check the box if you agree:required

I understand that checking the box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.

Daterequired

mm/dd/yyyy (Must contain a date in M/D/YYYY format)

Appeals

If you have already filed Geneva CSD Harassment Complaint Form and you would like to appeal the outcome, please file a Geneva CSD Harassment Complaint Appeal Form. Your appeal will be e-mailed to Steve Kruger, assistant superintendent for administrative services.

Appeal the Outcome of a Complaint

Appeal the Outcome of a Complaint

Appeal Form

Required

General Complaints

Please use our Geneva CSD General Complaint Form if you would like to submit a general complaint about a school-related incident. Your complaint will be e-mailed to Steve Kruger, assistant superintendent for administrative services. If you wish your complaint to be anonymous, please ensure that you are not currently signed in to this website.

General Complaint Form

Required

Name of person making complaint:

Leave blank if you wish to remain anonymous. If signed into website, must sign out for anonymity.

Phone Number:required

E-Mail:

Relationship to district (parent, student, employee, community member, etc.)

Building/Site where complaint originated:required

Person about whom complaint is being made (if applicable):

Issue/Concern required

Remedy Requested:required

TERMS OF ACCEPTANCE and SIGNATURE

I, the complainant, warrant the truthfulness of the information provided in this form.

Electronic Signature:required

Please type your First and Last Name

Please check the box if you agree:required

I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.

Date:required

mm/dd/yyyy (Must contain a date in M/D/YYYY format)

In This Section

Complaints

Harassment Complaints

Submit a Harassment Complaint

Harassment Complaint Form

Appeals

Appeal the Outcome of a Complaint

Appeal Form

General Complaints

General Complaints

General Complaint Form

DASA Complaints

Dignity for All Students Act Complaints

Links & Resources