Ulster BOCES Title IX Formal Complaint Form

Title IX of the Education Amendments Act of 1972 and its implementing regulations (Title IX) prohibit discrimination on the basis of sex in any education program or activity that receives federal financial assistance. As required by Title IX, Ulster BOCES does not discriminate on the basis of sex in its education programs and activities or when making employment decisions.

Ulster BOCES will promptly respond to reports of sexual harassment, ensure that all investigations are conducted within a reasonably prompt time frame and under a predictable fair grievance process that provides due process protections to complainants and respondents, and impose sanctions and implement remedies when warranted. 

Instructions

This form is used to file a formal complaint of sexual harassment under Title IX. Under Title IX, sexual harassment means conduct on the basis of sex that satisfies one or more of the following:

  1. An employee of Ulster BOCES conditioning the provision of an aid, benefit, or service on an individual's participation in unwelcome sexual conduct;
  2. Unwelcome conduct determined by a reasonable person to be so severe, pervasive, and objectively offensive that it effectively denies a person equal access to the BOCES’ education program or activity; or
  3. Sexual assault, dating violence, domestic violence, or stalking.

Filing a formal complaint of sexual harassment initiates Ulster BOCES’ Title IX grievance process which involves, among other things, investigating the allegations of sexual harassment. At the beginning of the grievance process, a written notice of allegations will be sent to all known parties which describes, among other things, details of the allegations being made including the identities of the parties involved in the incident, if known, the conduct allegedly constituting sexual harassment, and the date and location of the alleged incident, if known.

This form must be completed and signed by either the alleged victim (“the Complainant”); a parent or legal guardian who has a right to act on behalf of the Complainant; or the Title IX Coordinator. It should be submitted to the Title IX Coordinator in person, by mail, or email at the address set forth below. Filling this form out as thoroughly as possible will assist Ulster BOCES in providing for the prompt, thorough, and equitable resolution of all allegations. Inquiries about this form or the Title IX grievance process may be directed to Ulster BOCES’ Title IX Coordinator(s).

Ulster BOCES has designated and authorized the following Ulster BOCES employee(s) to serve as its Title IX Coordinator(s):

Amanda Stokes, Assistant Superintendent for Administration & Chief Operations Officer
175 Route 32 North
New Paltz, NY 12561
(845) 255-1400
astokes@ulsterboces.org

Title IX Formal Complaint Form

Required

Information about the Complainant

(The person alleged to have experienced the sexual harassment.)
Namerequired
First Name
Last Name
Complainant's Relationship to Ulster BOCES:required

Complainant's Contact Information

Information about the Respondent

(The person alleged to have perpetrated the sexual harassment.)
Namerequired
First Name
Last Name
Complainant's Relationship to Ulster BOCES:required

Respondent's Contact Information

Information about the Alleged Incident(s)

Is the sexual harassment continuing?required

Information about Witnesses

Information about Previous Reports

Information about Legal Counsel or other Advisor

Information about the Person Completing this Form

Are you the Complainant?required
If No, fill out the following:
Name
First Name
Last Name
Relationship to the Complainant:
Your Contact Information:

Filing a Formal Complaint

Have you previously met with Ulster BOCES’ Title IX Coordinator to discuss the allegations listed in this formal complaint and supportive measures available? required
Are you requesting that Ulster BOCES investigate the allegations of sexual harassment being made in this formal complaint?required

Additional Information

Did attach any relevant materials or evidence in completing this form?required
If yes, please:
Attach up to 5 files with a maximum size of 10MB
No file chosen
By typing my name below, I certify that the facts in this formal complaint are true to the best of my knowledge, information, and belief.
Namerequired
First Name
Last Name
Must contain a date in MM/DD/YYYY format
Notice: If, after reviewing this form, the Title IX Coordinator finds either that the conduct alleged in the formal complaint would not constitute sexual harassment even if proved, did not occur in Ulster BOCES education program or activity, or did not occur against a person in the United States, then Ulster BOCES will dismiss the formal complaint. This dismissal does not preclude action under another related BOCES policy, procedure, collective bargaining agreement, or other document such as the Ulster BOCES Code of Conduct. Further, you have the right to appeal the dismissal of this formal complaint.