This form is designed to assist individuals making a report under CEO’s Sexual and Other Prohibited Harassment Prevention Policy.  If you believe you are being or have been subjected to conduct in violation of the Policy, or witness or otherwise become aware of such conduct, you are expected to report such, either verbally or in writing.  It is CEO’s policy to promptly and thoroughly investigate such reports.

If you wish to make a written report, you may use this form to do so.  After completing this form, it will be submitted to the Chief Human Resources Officer, Tia Nunziato. If you are more comfortable reporting verbally or in another manner, you are welcome to do so. For information concerning alternate avenues of reporting, please refer to the Policy.

CEO prohibits retaliation against any individual who opposes discriminatory conduct, makes a good faith report or encourages an individual to make a report of discrimination or harassment, or who participates in an investigation of such a report.  Your cooperation in truthfully completing this form and providing as much accurate information as possible will enable us to investigate and respond to these matters more efficiently.