Sexual Harassment Reporting Form

Use this form to report concerns of any sexual harassment. Reports are monitored Monday through Friday during business hours.

Coconino County Accommodation School District complies with federal and state laws prohibiting unlawful discrimination based on race, color, national origin, sex, disability, and age in its programs and activities. Any person that believes they have been harassed or discriminated against based on his/her sex can file a report under this procedure by contacting the District's Title IX Coordinator as follows:

Traci Parker. Title IX Coordinator
John Phelps, Title IX Decision Maker
583 S. Lake Powell Blvd
Page, Arizona 86040
928-645-6825
TParker@ccrasd.org
Your Full Name(Required)
MM slash DD slash YYYY
Time of Incident
:
Alleged Victim's Name(Required)
Alleged Abuser's Name (if known)