GENDER EQUITY IN SPORTS: GRIEVANCE FORM It is the policy of the Early County Board of Education to prohibit discrimination based on gender in its school athletic programs. Any student or student’s parent(s) or guardian(s) may file a complaint using this form, if he or she feels that the school system has violated the Georgia Equity in Sports Act. ___________________________

__________________

_______________

Name of Individual Filing Complaint

Relationship to Student

Date of Complaint

Address of Complainant _________________________________________________________ Telephone # of Complainant _________________________ Alternate # ___________________ ______________________________________________ Student Full Name

_________ Grade

____ Sex

____________ Birthdate

Student’s Present Grade ___ & School of Enrollment ___ECES ___ECMS ___ECAS ___ECHS Name of Student’s Parent(s) or Guardian(s)___________________________________________ Address __________________________________________________

Phone # ___________

Alleged Action Which Violates Georgia Equity in Sports Act – Be Specific ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ To Be Completed by ECSS Employee & Reported to Superintendent _____________ Date Received

_______________________________ Complaint Received By

________________________ Referral/Method of Delivery

Action Taken ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Report to Superintendent and Action Taken By _______________________________________

GENDER EQUITY IN SPORTS Grievance Form.pdf

Phone # ______. Alleged Action Which ... GENDER EQUITY IN SPORTS Grievance Form.pdf. GENDER EQUITY IN SPORTS Grievance Form.pdf. Open. Extract.

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