Chattooga County Schools  33 Middle School Road Summerville, Georgia 30747 706-857-3447 706-857-3440 fax  Board) Members Loril Brady (Chair) Tiffany] Lawrence (Vice-Chair) Eddie Elsberry Bonnie Fletcher BJ. Montgomery  Michelle Helie, Superintendent Jeremy] Heathcock, Asst. Superintendem/Pederal. Programs Robert Beach, ChiefA Academic Officer Kellij Johnson, Special) Education Director  Chattooga County Schools Complaint Procedure  Public complaints/concers to the Chattooga County Board of Education by advisory groups, parents, teachers, or other concerned 1. The complainant shall file the complaint/concem. in writing with the Chattooga County Board of Education through the 2. The complaint shall include the names and addresses oft thej person(s) or organization(s) initiating the complaint/concer At the next regularly scheduled Chattooga County Board of Education meeting, al hearing will be conducted providing an opportunity for the complainant or the complainant's representative, or both, to present evidence, including an opportunity to question all parties involved. The Board willi issue a decision in writing to all parties concerned within thirty (30) days of the filing The complainant has the right to appeal the final decision oft the Chattooga County Board of Education within thirty (30) days after receipt oft the written decision. The appeal shall be addressed to the State Superintendent of Schools in writing, and shall  organization or individuals shall be made in the following manner:  Superintendent.  as well as a complete description of any alleged violations.  oft the complaint.  include a copy of the original complaint/concem with the unresolved items clearly stated.  Expect Success  The Chattooga County Schooll District does not discriminate ont thel basis ofr race, color, religion, sex, national origin, age, or disabilityi ini its programs, activities, ore employment practices.    Title IX Sexual Harassment Formal Complaint Form  Pursuant to Policy GAEB, JCAC and GAAA  lam filing this complaint as a (circle one) Employee, Parent/Guardian, Student, Title IX Coordinator  Print Submitting Person's Full Name:  Mailing Address: Home Phone: I.  Mobile Phone:  Email Address:  Ifthis Complaint is filed on behalf of a Chattooga County Schools (CCS) student, provide  the following:  Student's Full Name: Student's School of Enrollment: Parent/Guardian's Name:  Student's Grade:  Parent/Guardian's Phone Number:  II. Ifthis Complaint is filed on behalf of a Chattooga County Schools (CCS) Employee, P provide  the following:  Employee's Full Name:  Title:  Employee'sDepartment or Assigned School:  III. Carefully read and complete each section.  1. Please state the basis of your complaint for sexual harassment as defined below. Int the lined space below, provide the full name of the person(s) who are alleged to have committed the sexual harassment and describe the factual details of your complaint. Be sure to describe the date, time, and location of the harassment, and the identity of all parties involved in the harassment. Attach supporting documentation and additional pages, if necessary.  "Quid pro quo" harassment (an employee of CCS conditioning the provision of anaid, benefit, or service of the Board on an individual's participation in unwelcome sexual Sexual harassment (unwelcome sex-based conduct that is sO severe, persuasive, and objectively offensive that ite effectively denies a person equal access to CCS'seducation Sexual Assault is an offense defined as rape, fondling, incest or statutory rape; or  conduct. Explain in detail.)  programs or activities. Explain in detail.)  The Chattooga County School District does not discriminate on the basis ofr race, color, religion, sex, national origin,  age, or disability in its programs, activities, or employment practices.    Dating Violence is sex-based violence committed by a person- (A) who is or has been ina social relationship ofa a romantic ori intimate nature with the victim; and (B) where the existence of such a relationship shall be determined based on a consideration of the following factors: (1) The length of the relationship. (ii) The type of relationship. (ii) The frequency of interaction between the persons involved in the relationship; Or Domestic Violence is sex-based violence which includes felony or misdemeanor crimes of with whom the victim shares a child in common, by a person who is cohabitating with or has cohabitated with the victim as a spouse or intimate partner, by a person similarly situated to spouse oft the victim under the domestic or family violence laws of the jurisdiction receiving grant person'sacts under the domestic or family violence laws of Sex-based talking is engaging in a course of conduct directed at a specific person that would cause a reasonable person to- (A) fear for his or her safety or the safety of others;  the jurisdiction; or  or (B): suffer substantial emotional distress.  2. For each person identified in question #1, please state the full name of such a person, the school ofenrollment (for students) or the department or position of employment (for employees) if  known.  3. Please identify any other person(s) who either witnessed the incident that is the basis of your complaint or who youl believe may have additional information regarding this matter. State whether the identified person is a student or employee, and provide at telephone number or  email address, if known.  The Chattooga County School District does not discriminate on thel basis of race, color, religion, sex, national origin,  age, or disability ini its programs, activities, or employment practices.    4. Have youi informed any other Chattooga County Schools employee of this complaint? Ifso, identify all persons with whom you have discussed this matter and approximate dates ofy your  prior discussion(s).  5. Please provide a statement oft the relief sought by the Complainant (what would you like to  happen as a result ofy your complaint?):  lattest the aforementioned is true and correct to the best of my knowledge. lunderstand that the district may need to disclose the identity of parties listed in my complaint to complete ar required By signing below, la am requesting CCS to investigate the allegations of sexual harassment described  investigation of the allegation(s) of sexual harassment.  above.  Submitting Person/Complainants & Parent Guardian Signature  Date:  This form should only be used for complaints alleging sexual harassment as defined by Title IX of the Education Amendment of 1972 (20 U.S.C. 1681). When this) form has been completed and signed by) you, and then received andi noted by the Chattooga County School District, you will be provided with a copy of this form as well as information about the Title IX complaint process. If) you require emergency assistance, please contact the appropriate. school administrator. CCS's Title IX grievance policy is found in  Policy. JCAC and GAEB.  *To be completed by Title IX Coordinator  Complaint taken by: Print Full Name:  Date:  The Chattooga County School District does not discriminate on thel basis ofr race, color,religion, sex, national origin,  age, or disability ini its programs, activities, or employment practices.