Skip to main content
Okolona Municipal Separate School District
Main Menu Toggle
Curriculum and Instruction
Mississippi Literacy-Based Promotion Act
Online Bullying Report
Bank depository Bid Form
Sexual Harassment Form
Editing previous response:
Please fix the highlighted areas below before submitting.
Sexual Harassment/Discrimination Form
Please complete the form below. Required fields marked with an asterisk *
Your complaint of Sexual Harassment is made about:
Please describe what happened and how it is affecting you and your work. Please send any relevant documents or evidence to email@example.com
Date(s) sexual harassment occurred:
Is the sexual harassment continuing?
Please list the name and contact information of any witnesses or individuals who may have information related to your complaint:
Optional: Have you previously complained or provided information verbal or written about related incidents? If yes, when and to whom did you complain or provide information?
If you have retained legal counsel and would like us to work with them, please provide their contact information
Enter your email address here if you'd like to receive a confirmation upon submitting the form.