Mukilteo SD 6

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Harassment, Intimidation or Bullying (HIB) Incident Reporting Form

This form is used to report harassment, intimidation or bullying to the school or district. It may be filled and submitted by a student or a parent/guardian.

HIB Incident Reporting Form 2019 - fillable.pdf, 196.84 KB; (Last Modified on October 1, 2019)

Mukilteo School District does not discriminate in any programs or activities on the basis of sex, race, creed, religion, color, national origin, age, veteran or military status, sexual orientation, gender expression or identity, disability, or the use of trained dog guide or service animal and provides equal access to the Boy Scouts and other designated youth groups. The following employees have been designated to handle questions and complaints of alleged discrimination: Civil Rights Coordinator and Title IX Coordinator Dan Dizon (425-356-1319), dizonds@mukilteo.wednet.edu, Section 504 Coordinator Lisa Pitsch (425-356-1277), pitschla@mukilteo.wednet.edu, and the ADA/Access Coordinator Karen Mooseker (425-356-1330), moosekerkw@mukilteo.wednet.edu. Address: 9401 Sharon Drive in Everett, WA. Inquiries regarding ADA/Access issues at Sno-Isle TECH Skills Center should be directed to Wes Allen, Director (425-348-2220) allenwr@mukilteo.wednet.edu. Address: 9001 Airport Road in Everett, WA 98204.

Mukilteo SD 6

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Harassment, Intimidation or Bullying (HIB) Incident Reporting Form