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BREADCRUMB

Title IX

Title IX of the Education Amendments of 1972 (20 U.S.C. § 1681) is a federal law that prohibits discrimination based on the sex of students in educational institutions that receive federal financial assistance. 

Title IX states: “No person in the United States shall, on the basis of sex, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any education program or activity receiving Federal financial assistance[.]” All federal agencies that provide grants of financial assistance are required to enforce Title IX’s nondiscrimination mandate.

Examples of the types of discrimination that are covered under Title IX include but are not limited to: sex-based harassment; sexual violence; pregnancy discrimination; the failure to provide equal athletic opportunity; sex-based discrimination in a school’s science, technology, engineering, and math (STEM) courses and programs; discriminatory application of dress code policies and/or enforcement; and retaliation.

When the form has been completed and signed by the Complainant or the Title IX Coordinator, the alleged complaint will be investigated by the District. A copy of this completed form, as well as information about the District's Title IX grievance process will be provided to the Complainant and the Respondent. 

  • Complainant: A student/employee who is alleged to be the victim of sexual harassment
  • Respondent: A student/employee who is alleged to be the perpetrator of sexual harassment.
  • Formal Complaint: A document filed by a Complainant (or parent/guardian) or signed by the Title IX Coordinator alleging sexual harassment against a Respondent and requesting that the District investigate the allegation.

Andrew Saiz, Los Lunas Schools Title IX Coordinator

When completing the form, Be Specific…

  • Specify Time Frames
  • Specify Individual Names and Employment Titles
  • Describe Subject Matter as Closely as Possible and
  • Any other means of specifying information

Title IX Discrimination Formal Complaint Form

Required

Complainant Informationrequired
First Name
Last Name
Must contain a date in M/D/YYYY format
Discrimination based on: (Check all that apply)required
Must contain a date in M/D/YYYY format
Must contain a date in M/D/YYYY format

Respondent Information:

Please list the individual(s) alleged to have engaged in sexual harassment/prohibited conduct:

Namerequired
First Name
Last Name
Name
First Name
Last Name
Name
First Name
Last Name
Name
First Name
Last Name
Informal Resolution: Are you interested in the district's voluntary resolution process?
Were there any witnesses to this matter?
If yes, please identify witnesses to the incident(s) or those who have knowledge of the incident(s). required
First Name
Last Name
Name
First Name
Last Name
Name
First Name
Last Name
Did you discuss this matter with any of the witnesses you previosly identified?
If you answered yes, please identifyrequired
First Name
Last Name
Must contain a date in M/D/YYYY format
Name
First Name
Last Name
Must contain a date in M/D/YYYY format
Please identify any administrators, District employees, or law enforcement agency to whom you have reported your concerns.required
First Name
Last Name
Must contain a date in M/D/YYYY format
Name
First Name
Last Name
I certify the aforementioned information provided by me is true and correct. (Selecting "True" and "Correct" is your signature).
Must contain a date in M/D/YYYY format