Office of Equity&Affirmative Action

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Quick Links to Forms:

If you have a complaint, please complete the following form and click on the submit button. It will be emailed to the Office of Equity and Affirmative Action, where someone will contact you to follow-up on your complaint. The information you disclose will be kept confidential .

Please include appropriate response and complete the information requested:

Name:
Today's Date:
Address where you can be reached:
Phone:
Email:
Please check one:
Faculty Academic Staff Classified Student Other
Please indicate the nature of your complaint (check all that apply):
Race National origin Age Marital Status Creed or Religion Disability Sexual Orientation Parental Status Sex / Gender Ancestry Pregnancy Other
Date on which the alleged complaint occurred:
Short Summary of alleged complaint:
Have you filed a complaint with any other agency or department?
Yes No If Yes, with whom?

Please note that all of your inquiries, concerns and questions will be kept in confidence.

Questions? Contact Jane Wypizynski wypiszyj@uwosh.edu or Jan Keene keene@uwosh.edu

Office of Equity & Affirmative Action
Dempsey 211
424-2296

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