SCHOOL DISTRICT

Series 100

100	Legal Status of the School District

101	Educational Philosophy of the School District

102	Equal Educational Opportunity
	102.E1		Annual Notice of Nondiscrimination
	102.E2		Continuous Notice of Nondiscrimination
	102.E3		Notice of Section 504 Student and Parental Rights
	102.E4		Complaint Form
	102.E5		Witness Disclosure Form
	102.E6		Disposition of Complaint Form
	102.R1		Grievance Procedure

103	Long-Range Needs Assessment
	103.R1		Long-Range Needs Assessment

104	Anti-Bullying/Anti-Harassment
	104.E1		Anti-Bullying/Anti-Harassment Complaint Form
	104.E2		Witness Disclosure Form
	104.E3		Anti-Bullying/Anti-Harassment Disposition of Complaint Form
	104.R1		Anti-Bullying/Anti-Harassment Investigation Procedures

105.1	Sex Offenders
	105.1 R1		Registrant Request Form	

Code No.  100

LEGAL STATUS OF THE SCHOOL DISTRICT

Iowa law authorizes the creation of a Common Schools System.  As part of this Common Schools System, this school district is a school corporation created and organized under Iowa law.  This school district is known as the Central Lyon Community School District.

This school corporation is located in Lyon County, and its affairs are conducted by elected school officials, the Central Lyon Community School District Board of Directors.  This school corporation has exclusive jurisdiction over school matters in the territory of the school district.

Legal Reference: 	Iowa Code §§ 274.1, .2, .6, .7; 278.1(9); 279.8; 594A (2013).

Cross Reference:	200	Legal Status of the Board of Directors

Approved      5/8/95             	Reviewed      11/14/16                 Revised     5/8/95              

Code No.  101

EDUCATIONAL PHILOSOPHY OF THE SCHOOL DISTRICT

As a school corporation of Iowa, the Central Lyon Community School District. acting through its board of directors, is dedicated to promoting an equal opportunity for a quality public education to its students.  The board’s ability may be limited by the school district's ability and willingness to furnish financial support in cooperation with student’s parents and school district community.  The board is also dedicated to providing the opportunity to develop a healthy social, intellectual, emotional, and physical self-concept in a learning environment that provides guidance to, and encourages critical thinking in, the students for a lifetime.

The board endeavors, through the dedication of the school district's resources, to encourage students, who come to the school district from a variety of backgrounds, to look forward to the time when they will have jobs, homes, families, places in the school district community, and attain recognition as individuals.  In order to achieve this goal, the board will seek qualified employees dedicated to development of their professional skills for the betterment of the education program and for the expertise for educational productivity.

Instruction and curriculum are the key elements of a public education.  Critical thinking and problem solving skills that will assist the students' preparation for life is instructed as part of a sequentially coordinated curriculum.  The school district strives to prepare students for employment, to discover and nurture creative talent and to prepare them to meet and cope with social change in an atmosphere conducive to learning.

The support and involvement of the home and the school district community are essential to achieve educational excellence in the school district.  The school district strives to maintain an active relationship with the home and the school district community to create within the students an awareness of dignity and worth of the individual, civic responsibility and respect for authority.

Legal Reference:	Iowa Code §§ 256.11 (2013).

Cross Reference:	102	Equal Educational Opportunity
	103	Long-Range Needs Assessment
	209	Board of Directors' Management Procedures
	600	Goals and Objectives of the Education Program
	602	Curriculum Development

Approved       5/8/95            	Reviewed      11/14/16                      Revised    9/14/98               

Code No. 102

EQUAL EDUCATIONAL OPPORTUNITY

It is the policy of the Central Lyon Community School District not to discriminate on the basis of race, color, national origin, sex, disability, religion, creed, age (for employment), marital status (for programs), sexual orientation, gender identity and socioeconomic status (for programs) in its educational programs and its employment practices. There is a grievance procedure for processing complaints of discrimination. If you have questions or a grievance related to this policy please contact David Ackerman, Superintendent, Central Lyon CSD, 1010 S. Greene St., Rock Rapids, IA  51246, phone number:          712-472-2664 e-mail address dacker@centrallyon.org.

The board requires all persons, agencies, vendors, contractors and other persons and organizations doing business with or performing services for the school district to subscribe to all applicable federal and state laws, executive orders, rules and regulations pertaining to contract compliance and equal opportunity.

NOTE: The language utilized above is consistent with Iowa Department of Education guidance released in the School Leader Update on September 1, 2015. The classes listed are all mandatory.   

Legal Reference:	20 U.S.C. §§ 1221 et seq.  
	20 U.S.C. §§ 1681 et seq. 
	20 U.S.C. §§ 1701 et seq. 
	29 U.S.C. § 206 et seq. 
	29 U.S.C. § 794 
	42 U.S.C. §§ 2000d and 2000e. 
	42 U.S.C. §§ 12101 et seq. 
	34 C.F.R. Pt. 100.
	34 C.F.R. Pt. 104.
Iowa Code §§ 216.6;  216.9; 256.11; 280.3.
	281 I.A.C. 12.

Cross Reference:	101	Educational Philosophy of the School District
	401.1	Equal Employment Opportunity
	500	Objectives for Equal Educational Opportunities for Students
	506.1 	Student Records

Approved     5/8/95              	Reviewed     11/14/16                       Revised      11/14/16             
Code No.  102.E1

ANNUAL NOTICE OF NONDISCRIMINATION

The Central Lyon CSD offers career and technical programs in the following areas of study:

	FACS, BUSINESS, VOCATION AG, INDUSTRIAL ARTS

It is the policy of the Central Lyon Community School District not to discriminate on the basis of race, color, national origin, sex, disability, religion, creed, age (for employment), marital status (for programs), sexual orientation, gender identity and socioeconomic status (for programs) in its educational programs and its employment practices. There is a grievance procedure for processing complaints of discrimination. If you have questions or a grievance related to this policy please contact David Ackerman, Superintendent, Central Lyon CSD, 1010 S. Greene St., Rock Rapids, IA  51246, phone number:  712-472-2664 e-mail address dacker@centrallyon.org.

Code No. 102.E2

CONTINUOUS NOTICE OF NONDISCRIMINATION 

It is the policy of the Central Lyon Community School District not to discriminate on the basis of race, color, national origin, sex, disability, religion, creed, age (for employment), marital status (for programs), sexual orientation, gender identity and socioeconomic status (for programs) in its educational programs and its employment practices. There is a grievance procedure for processing complaints of discrimination. If you have questions or a grievance related to this policy please contact David Ackerman, Superintendent, Central Lyon CSD, 1010 S. Greene St., Rock Rapids, IA  51246, phone number:               712-472-2664 e-mail address dacker@centrallyon.org.

NOTE: A school district may have a different coordinator for each law or consolidate the responsibilities under one employee. The Iowa Department of Education encourages districts to have no more than two (2) coordinators: one for employment and one for programs. If the district has more than one coordinator, publications of this policy and notifications must include the name, contact address, contact phone number and email address for each coordinator. 
Code No. 102.E3

NOTICE OF SECTION 504 STUDENT AND PARENTAL RIGHTS

The Central Lyon Community School District does not discriminate in its educational programs and activities on the basis of a student's disability. It has been determined that your child has a qualifying disability for which accommodations may need to be made to meet his or her individual needs as adequately as the needs of other students. As a parent, you have the right to the following:

•	Participation of your child in school district programs and activities, including extracurricular programs and activities, to the maximum extent appropriate, free of discrimination based upon the student's disability and at the same level as students without disabilities;
•	Receipt of free educational services to the extent they are provided students without disabilities:
•	Receipt of information about your child and your child's educational programs and activities in your native language;
•	Notice of identification of your child as having a qualifying disability for which accommodations may need to be made and notice prior to evaluation and placement of your child and right to periodically request a re-evaluation of your child;
•	Inspect and review your child's educational records including a right to copy those records for a reasonable fee; you also have a right to ask the school district to amend your child's educational records if you feel the information in the records is misleading or inaccurate; should the school district refuse to amend the records, you have a right to a hearing and to place an explanatory letter in your child's file explaining why you feel the records are misleading or inaccurate; and
•	Hearing before an impartial hearing officer if you disagree with your child's evaluation or placement; you have a right to counsel at the hearing and have the decision of the impartial hearing officer reviewed.

It is the policy of the Central Lyon Community School District not to discriminate on the basis of race, color, national origin, sex, disability, religion, creed, age (for employment), marital status (for programs), sexual orientation, gender identity and socioeconomic status (for programs) in its educational programs and its employment practices. There is a grievance procedure for processing complaints of discrimination. If you have questions or a grievance related to this policy please contact David Ackerman, Superintendent, Central Lyon CSD, 1010 S. Greene St., Rock Rapids, IA  51246, phone number:  712-472-2664 e-mail address dacker@centrallyon.org.

Code No. 102.E4

COMPLAINT FORM
(Discrimination, Anti-Bullying, and Anti-Harassment)

Date of complaint: 
	_____________________________________________________	
Name of Complainant: 
	_____________________________________________________	
Are you filling out this form for yourself or someone else (please identify the individual if you are submitting on behalf of someone else):
	_____________________________________________________

_____________________________________________________	
Who or what entity do you believe discriminated against, harassed, or bullied you (or someone else)?
	_____________________________________________________	
Date and place of alleged incident(s): 	_____________________________________________________

_____________________________________________________

_____________________________________________________	

Names of any witnesses (if any): 	
_____________________________________________________	

Nature of discrimination, harassment, or bullying alleged (check all that apply):
  	Age		Physical Attribute		Sex	
  	Disability		Physical/Mental Ability		Sexual Orientation	
  	Familial Status		Political Belief		Socio-economic Background	
  	Gender Identity		Political Party Preference		Other – Please Specify:	
  	Marital Status		Race/Color	  	
	National Origin/Ethnic Background/Ancestry		Religion/Creed		

In the space below, please describe what happened and why you believe that you or someone else has been discriminated against, harassed, or bullied. Please be as specific as possible and attach additional pages if necessary. 
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
I agree that all of the information on this form is accurate and true to the best of my knowledge. 
Signature: _____________________________________ 	Date:  ___________________________
Code No. 102.E3

NOTICE OF SECTION 504 STUDENT AND PARENTAL RIGHTS

The Central Lyon CSD does not discriminate in its educational programs and activities on the basis of a student's disability. It has been determined that your child has a qualifying disability for which accommodations may need to be made to meet his or her individual needs as adequately as the needs of other students. As a parent, you have the right to the following:

•	Participation of your child in school district programs and activities, including extracurricular programs and activities, to the maximum extent appropriate, free of discrimination based upon the student's disability and at the same level as students without disabilities;
•	Receipt of free educational services to the extent they are provided students without disabilities:
•	Receipt of information about your child and your child's educational programs and activities in your native language;
•	Notice of identification of your child as having a qualifying disability for which accommodations may need to be made and notice prior to evaluation and placement of your child and right to periodically request a re-evaluation of your child;
•	Inspect and review your child's educational records including a right to copy those records for a reasonable fee; you also have a right to ask the school district to amend your child's educational records if you feel the information in the records is misleading or inaccurate; should the school district refuse to amend the records, you have a right to a hearing and to place an explanatory letter in your child's file explaining why you feel the records are misleading or inaccurate; and
•	Hearing before an impartial hearing officer if you disagree with your child's evaluation or placement; you have a right to counsel at the hearing and have the decision of the impartial hearing officer reviewed.

It is the policy of the Central Lyon Community School District not to discriminate on the basis of race, color, national origin, sex, disability, religion, creed, age (for employment), marital status (for programs), sexual orientation, gender identity and socioeconomic status (for programs) in its educational programs and its employment practices. There is a grievance procedure for processing complaints of discrimination. If you have questions or a grievance related to this policy please contact David Ackerman, Superintendent, Central Lyon CSD, 1010 S. Greene St., Rock Rapids, IA  51246, phone number:  712-472-2664 e-mail address dacker@centrallyon.org.

Code No. 102.E6

DISPOSITION OF COMPLAINT FORM

Date:
	_____________________________________________________	
Date of initial complaint: 
	_____________________________________________________	
Name of Complainant (include whether the Complainant is a student or employee):  	_____________________________________________________

_____________________________________________________	
		
Date and place of alleged incident(s): 	_____________________________________________________

_____________________________________________________

_____________________________________________________	

Name of Respondent (include whether the Respondent is a student or employee): 	
_____________________________________________________

_____________________________________________________	

Nature of discrimination, harassment, or bullying alleged (check all that apply):
  	Age		Physical Attribute		Sex	
  	Disability		Physical/Mental Ability		Sexual Orientation	
  	Familial Status		Political Belief		Socio-economic Background	
  	Gender Identity		Political Party Preference		Other – Please Specify:	
  	Marital Status		Race/Color	  	
	National Origin/Ethnic Background/Ancestry		Religion/Creed		

Summary of Investigation: _______________________________________________________________
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________

I agree that all of the information on this form is accurate and true to the best of my knowledge. 
Signature: _____________________________________ 	Date:  ___________________________
Code No. 102.R1
Page 1 of 2

GRIEVANCE PROCEDURE

It is the policy of the Central Lyon  Community School District not to discriminate on the basis of race, color, national origin, sex, disability, religion, creed, age (for employment), marital status (for programs), sexual orientation, gender identity and socioeconomic status (for programs) in its educational programs and its employment practices. There is a grievance procedure for processing complaints of discrimination. If you have questions or a grievance related to this policy please contact David Ackerman, Superintendent, Central Lyon CSD, 1010 S. Greene St., Rock Rapids, IA  51246, phone number:            712-472-2664 e-mail address dacker@centrallyon.org.

Students, parents of students, employees, and applicants for employment in the school district have the right to file a formal complaint alleging discrimination. The district has policies and procedures in place to identify and investigate complaints alleging discrimination. If appropriate, the district will take steps to prevent the recurrence of discrimination and to correct its discriminatory effects on the Complainant and others.
A Complainant may attempt to resolve the problem informally by discussing the matter with a building principal or a direct supervisor. However, the Complainant has the right to end the informal process at any time and pursue the formal grievance procedures outlined below. Use of the informal or formal grievance procedure is not a prerequisite to the pursuit of other remedies. Please note that informal processes and procedures are not to be used in certain circumstances (e.g., sexual harassment and sexual assault). 
Filing a Complaint
A Complainant who wishes to avail himself/herself of this grievance procedure may do so by filing a complaint with the equity coordinator(s). An alternate will be designated in the event it is claimed that the equity coordinator or superintendent committed the alleged discrimination or some other conflict of interest exists. Complaints shall be filed within 180 of the event giving rise to the complaint or from the date the Complainant could reasonably become aware of such occurrence. The Complainant will state the nature of the complaint and the remedy requested. The equity coordinator(s) shall assist the Complainant as needed. 
Investigation 
Within 15 working days, the equity coordinator will begin the investigation of the complaint or appoint a qualified person to undertake the investigation (hereinafter “equity coordinator”).  If the Complainant is under 18 years of age, the equity coordinator shall notify his or her parent(s)/guardian(s) that they may attend investigatory meetings in which the Complainant is involved. The complaint and identity of the Complainant, Respondent, or witnesses will only be disclosed as reasonably necessary in connection with the investigation or as required by law or policy. The investigation may include, but is not limited to the following: 
•	A request for the Complainant to provide a written statement regarding the nature of the complaint; 
•	A request for the individual named in the complaint to provide a written statement; 
•	A request for witnesses identified during the course of the investigation to provide a written statement; 
•	Interviews of the Complainant, Respondent, or witnesses; 
•	An opportunity to present witnesses or other relevant information; and 
•	Review and collection of documentation or information deemed relevant to the investigation. 

Code No. 102.R1
Page 2 of 2

Within 60 working days, the equity coordinator shall complete the investigation and issue a report with respect to the findings. 
The equity coordinator shall notify the Complainant and Respondent of the decision within 5 working days of completing the written report. Notification shall be by U.S. mail, first class. 
Decision and Appeal
The complaint is closed after the equity coordinator has issued the report, unless within 10 working days after receiving the decision, either party appeals the decision to the superintendent by making a written request detailing why he/she believes the decision should be reconsidered. The equity coordinator shall promptly forward all materials relative to the complaint and appeal to the superintendent. Within 30 working days, the superintendent shall affirm, reverse, amend the decision, or direct the equity coordinator to gather additional information. The superintendent shall notify the Complainant, Respondent, and the equity coordinator of the decision within 5 working days of the decision. Notification shall be by U.S. mail, first class. 
The decision of the superintendent shall be final. 
The decision of the superintendent in no way prejudices a party from seeking redress through state or federal agencies as provided by in law. 
This policy and procedures are to be used for complaints of discrimination, in lieu of any other general complaint policies or procedures that may be available. 
If any of the stated timeframes cannot be met by the district, the district will notify the parties and pursue completion as promptly as possible. 
Retaliation against any person, because the person has filed a complaint or assisted or participated in an investigation, is prohibited. Persons found to have engaged in retaliation shall be subject to discipline by appropriate measures. 
NOTE: Some conduct that falls under a school’s equal educational opportunity policy also may trigger responsibilities under the state’s anti-bullying/anti-harassment laws. By limiting the response to a specific application of its equal educational opportunity policy and the accompanying grievance procedures, a school may fail to properly consider whether the alleged conduct also results in bullying and/or harassment.

Code No.  103

LONG-RANGE NEEDS ASSESSMENT

Long-range needs assessment enables the school district to analyze assessment data, get feedback from the community about its expectation of students and determine how well students are meeting student learning goals.  The board will conduct ongoing and in-depth needs assessment, soliciting information from business, labor, industry, higher education and community members, regarding their expectations for adequate student preparation. 

In conjunction with the in-depth needs assessment of the school district, the board will authorize the appointment of a committee, representing administrators, employees, parents, students and community members, to make recommendations and assist the board in determining the priorities of the school district in addition to the basic skills areas of the education program.

(Insert a paragraph describing how your school district will provide opportunities for local feedback on an ongoing basis.)

It is the responsibility of the superintendent to ensure the school district community is informed of students' progress on state and locally determined indicators.  The superintendent will report annually to the board about the means used to keep the community informed.

As a result of the board and committee's work, the board will determine major educational needs and rank them in priority order; develop long-range goals and plans to meet the educational needs; establish and implement short-range and intermediate-range plans to meet the goals and to attain the desired levels of student performance; evaluate progress toward meeting the goals and maintain a record of progress under the plan that includes reports of student performance and results of school improvement projects; and annually report the school district's progress made under the plan to the committee, community and Iowa Department of Education.

NOTE:  This is a mandatory policy.  Boards should add their local process in the third paragraph.   For more detailed discussion of this issue, see IASB's Policy Primer, Vol. 13 #1 – February 15, 2000.

Legal Reference:	Iowa Code §§ 21; 256.7; 280.12 (2013).
	281 I.A.C. 12.8(1)(b).

Cross Reference:	101	Educational Philosophy of the School District
	200	Legal Status of the Board of Directors
	208	Committees of the Board of Directors
	603.1	Basic Instruction Program
	801.1	Buildings and Sites Long Range Planning
	801.2	Buildings and Sites Surveys

Approved      5/8/95             	Reviewed    11/14/16                	Revised      1/12/04             

Code No.  103.R1

LONG-RANGE NEEDS ASSESSMENT

The school district's long range needs assessment process includes these items:

•	provisions for collecting, analyzing and reporting information derived from local, state and national sources;
•	provisions for reviewing information acquired on the following:
o	state indicators and other locally determined indicators,
o	locally established student learning goals,
o	specific data collection required by state and federal programs;

•	provisions for collecting and analyzing assessment data on the following:
o	state indicators,
o	locally determined indicators,
o	locally established student learning goals.

Note:  The long-range needs assessment process is mandatory but it does not need to be an administrative regulation supporting the long-range needs assessment policy.  It is, however, recommended that it become an administrative regulation to support the policy to ensure completeness and consistency.

Code No. 104
Page 1 of 3

ANTI-BULLYING/ANTI-HARASSMENT POLICY 

The Central Lyon CSD is committed to providing all students with a safe and civil school environment in which all members of the school community are treated with dignity and respect. Bullying and/or harassment of or by students, staff, and volunteers is against federal, state, and local policy and is not tolerated by the board. Bullying and/or harassing behavior can seriously disrupt the ability of school employees to maintain a safe and civil environment, and the ability of students to learn and succeed. Therefore, it is the policy of the state and the school district that school employees, volunteers, and students shall not engage in bullying or harassing behavior in school, on school property, or at any school function or school-sponsored activity.

Definitions 
For the purposes of this policy, the defined words shall have the following meaning:  
•	“Electronic” means any communication involving the transmission of information by wire, radio, optic cable, electromagnetic, or other similar means. “Electronic” includes but is not limited to communication via electronic mail, internet-based communications, pager service, cell phones, and electronic text messaging. 
•	“Harassment” and “bullying” shall mean any electronic, written, verbal, or physical act or conduct toward a student based on the individual’s actual or perceived age, color, creed, national origin, race, religion, marital status, sex, sexual orientation, gender identity, physical attributes, physical or mental ability or disability, ancestry, political party preference, political belief, socioeconomic status, or familial status, and which creates an objectively hostile school environment that meets one or more of the following conditions: 
(1)	Places the student in reasonable fear of harm to the student’s person or property. 
(2)	Has a substantial detrimental effect on the student’s physical or mental health. 
(3)	Has the effect of substantially interfering with a student’s academic performance. 
(4)	Has the effect of substantially interfering with the student’s ability to participate in or benefit from the services, activities, or privileges provided by a school. 
•	“Trait or characteristic of the student” includes but is not limited to age, color, creed, national origin, race, religion, marital status, sex, sexual orientation, gender identity, physical attributes, physical or mental ability or disability, ancestry, political party preference, political belief, socioeconomic status, or familial status.
•	“Volunteer” means an individual who has regular, significant contact with students.

Filing a Complaint
A Complainant who wishes to avail himself/herself of this procedure may do so by filing a complaint with the superintendent or superintendent’s designee. An alternate will be designated in the event it is claimed that the superintendent or superintendent’s designee committed the alleged discrimination or some other conflict of interest exists. Complaints shall be filed within 180 of the event giving rise to the complaint or from the date the Complainant could reasonably become aware of such occurrence. The Complainant will state the nature of the complaint and the remedy requested. The Complainant shall receive assistance as needed.

School employees, volunteers, and students shall not engage in reprisal, retaliation, or false accusation against a victim, witness, or an individual who has reliable information about an act of bullying or harassment. 

Code No. 104
Page 2 of 3

Investigation 
The school district will promptly and reasonably investigate allegations of bullying or harassment. The Superintendent (hereinafter “Investigator”) will be responsible for handling all complaints alleging bullying or harassment. The Investigator shall consider the totality of circumstances presented in determining whether conduct objectively constitutes bullying or harassment. The superintendent or the superintendent’s designee shall also be responsible for developing procedures regarding this policy. 

Decision 
If, after an investigation, a student is found to be in violation of this policy, the student shall be disciplined by appropriate measures, which may include suspension and expulsion. If after an investigation a school employee is found to be in violation of this policy, the employee shall be disciplined by appropriate measures, which may include termination. If after an investigation a school volunteer is found to be in violation of this policy, the volunteer shall be subject to appropriate measures, which may include exclusion from school grounds. 

A school employee, volunteer, or student, or a student’s parent or guardian who promptly, reasonably, and in good faith reports an incident of bullying or harassment, in compliance with the procedures in the policy adopted pursuant to this section, to the appropriate school official designated by the school district, shall be immune from civil or criminal liability relating to such report and to participation in any administrative or judicial proceeding resulting from or relating to the report.

Individuals who knowingly file false bullying or harassment complaints and any person who gives false statements in an investigation may be subject to discipline by appropriate measures, as shall any person who is found to have retaliated against another in violation of this policy. Any student found to have retaliated in violation of this policy shall be subject to measures up to, and including, suspension and expulsion.  Any school employee found to have retaliated in violation of this policy shall be subject to measures up to, and including, termination of employment. Any school volunteer found to have retaliated in violation of this policy shall be subject to measures up to, and including, exclusion from school grounds.  

Publication of Policy 
The board will annually publish this policy. The policy may be publicized by the following means:
•	Inclusion in the student handbook,
•	Inclusion in the employee handbook
•	Inclusion on the school or school district’s web site,

    Code No. 104
Page 3 of 3

NOTE: School districts are required to integrate the anti-bullying and anti-harassment policy into the comprehensive school improvement plan and shall collect and report data regarding instances of bullying and harassment as required by law. 

NOTE: Some conduct that falls under a school’s anti-bullying/anti-harassment policy also may trigger responsibilities under one or more of the federal and state antidiscrimination laws. By limiting the response to a specific application of its anti-bullying/anti-harassment disciplinary policy and the accompanying procedures, a school may fail to properly consider whether the alleged conduct also results in discriminatory bullying and/or harassment.

Legal References:	20 U.S.C. §§ 1221-1234i.
	29 U.S.C. § 794.
	42 U.S.C. §§ 2000d-2000d-7. 
	42 U.S.C. §§ 12101 2et. seq.
	Iowa Code §§ 216.9; 280.28; 280.3. 	
	281 I.A.C. 12.3(6).
	Morse v. Frederick, 551 U.S. 393 (2007)

Cross References:	102 	Equal Educational Opportunity 
	502	Student Rights and Responsibilities
	503	Student Discipline
	506	Student Records

Approved     6/11/07              	Reviewed   11/14/16           Revised      11/14/16             

Code No. 104.E1

COMPLAINT FORM
(Discrimination, Anti-Bullying, and Anti-Harassment)

Date of complaint: 
	_____________________________________________________	
Name of Complainant: 
	_____________________________________________________	
Are you filling out this form for yourself or someone else (please identify the individual if you are submitting on behalf of someone else):
	_____________________________________________________

_____________________________________________________	
Who or what entity do you believe discriminated against, harassed, or bullied you (or someone else)?
	_____________________________________________________	
Date and place of alleged incident(s): 	_____________________________________________________

_____________________________________________________

_____________________________________________________	

Names of any witnesses (if any): 	
_____________________________________________________	

Nature of discrimination, harassment, or bullying alleged (check all that apply):
  	Age		Physical Attribute		Sex	
  	Disability		Physical/Mental Ability		Sexual Orientation	
  	Familial Status		Political Belief		Socio-economic Background	
  	Gender Identity		Political Party Preference		Other – Please Specify:	
  	Marital Status		Race/Color	  	
	National Origin/Ethnic Background/Ancestry		Religion/Creed		

In the space below, please describe what happened and why you believe that you or someone else has been discriminated against, harassed, or bullied. Please be as specific as possible and attach additional pages if necessary. 
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
I agree that all of the information on this form is accurate and true to the best of my knowledge. 
Signature: _____________________________________ Date:  __________________________
						Code No. 104.E2

WITNESS DISCLOSURE FORM

Name of Witness: 	
_____________________________________________________
	
Date of interview:
	_____________________________________________________	
Date of initial complaint: 
	_____________________________________________________	
Name of Complainant (include whether the Complainant is a student or employee):  	_____________________________________________________

_____________________________________________________	
		
Date and place of alleged incident(s): 	_____________________________________________________

_____________________________________________________

_____________________________________________________	
		
Nature of discrimination, harassment, or bullying alleged (check all that apply):
  	Age		Physical Attribute		Sex	
  	Disability		Physical/Mental Ability		Sexual Orientation	
  	Familial Status		Political Belief		Socio-economic Background	
  	Gender Identity		Political Party Preference		Other – Please Specify:	
  	Marital Status		Race/Color	  	
	National Origin/Ethnic Background/Ancestry		Religion/Creed		

Description of incident witnessed: _______________________________________________________________________
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Additional information: _______________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________________________________________________

I agree that all of the information on this form is accurate and true to the best of my knowledge. 

Signature: _____________________________________ 	Date:  __________________________

						  Code No. 104.E3

DISPOSITION OF COMPLAINT FORM

Date:
	_____________________________________________________	
Date of initial complaint: 
	_____________________________________________________	
Name of Complainant (include whether the Complainant is a student or employee):  	_____________________________________________________

_____________________________________________________	
		
Date and place of alleged incident(s): 	_____________________________________________________

_____________________________________________________

_____________________________________________________	

Name of Respondent (include whether the Respondent is a student or employee): 	
_____________________________________________________

_____________________________________________________	

Nature of discrimination, harassment, or bullying alleged (check all that apply):
  	Age		Physical Attribute		Sex	
  	Disability		Physical/Mental Ability		Sexual Orientation	
  	Familial Status		Political Belief		Socio-economic Background	
  	Gender Identity		Political Party Preference		Other – Please Specify:	
  	Marital Status		Race/Color	  	
	National Origin/Ethnic Background/Ancestry		Religion/Creed		

Summary of Investigation: _____________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________

I agree that all of the information on this form is accurate and true to the best of my knowledge. 

Signature: _____________________________________ 	Date:  __________________________

Code No. 104R.1
  Page 1 of 3

ANTI-BULLYING/ANTI-HARASSMENT INVESTIGATION PROCEDURES 

The Central Lyon CSD is committed to providing all students with a safe and civil school environment in which all members of the school community are treated with dignity and respect. Bullying and/or harassment of or by students, staff, and volunteers is against federal, state, and local policy and is not tolerated by the board. Bullying and/or harassing behavior can seriously disrupt the ability of school employees to maintain a safe and civil environment, and the ability of students to learn and succeed. Therefore, it is the policy of the state and the school district that school employees, volunteers, and students shall not engage in bullying or harassing behavior in school, on school property, or at any school function or school-sponsored activity.

Definitions 
For the purposes of this policy, the defined words shall have the following meaning:  
•	“Electronic” means any communication involving the transmission of information by wire, radio, optic cable, electromagnetic, or other similar means. “Electronic” includes but is not limited to communication via electronic mail, internet-based communications, pager service, cell phones, and electronic text messaging. 
•	“Harassment” and “bullying” shall mean any electronic, written, verbal, or physical act or conduct toward a student based on the individual’s actual or perceived age, color, creed, national origin, race, religion, marital status, sex, sexual orientation, gender identity, physical attributes, physical or mental ability or disability, ancestry, political party preference, political belief, socioeconomic status, or familial status, and which creates an objectively hostile school environment that meets one or more of the following conditions: 
(1)	Places the student in reasonable fear of harm to the student’s person or property. 
(2)	Has a substantial detrimental effect on the student’s physical or mental health. 
(3)	Has the effect of substantially interfering with a student’s academic performance. 
(4)	Has the effect of substantially interfering with the student’s ability to participate in or benefit from the services, activities, or privileges provided by a school. 
•	“Trait or characteristic of the student” includes but is not limited to age, color, creed, national origin, race, religion, marital status, sex, sexual orientation, gender identity, physical attributes, physical or mental ability or disability, ancestry, political party preference, political belief, socioeconomic status, or familial status.
•	“Volunteer” means an individual who has regular, significant contact with students.

Filing a Complaint
A Complainant who wishes to avail himself/herself of this procedure may do so by filing a complaint with the superintendent or superintendent’s designee. An alternate will be designated in the event it is claimed that the superintendent or superintendent’s designee committed the alleged discrimination or some other conflict of interest exists. Complaints shall be filed within 180 of the event giving rise to the complaint or from the date the Complainant could reasonably become aware of such occurrence. The Complainant will state the nature of the complaint and the remedy requested. The Complainant shall receive assistance as needed. 

School employees, volunteers, and students shall not engage in reprisal, retaliation, or false accusation against a victim, witness, or an individual who has reliable information about an act of bullying or harassment.  

Code No. 104R.1
Page 2 of 3

Investigation 
The school district will promptly and reasonably investigate allegations of bullying or harassment. The Superintendent (hereinafter “Investigator”) will be responsible for handling all complaints alleging bullying or harassment. 
If the Complainant is under 18 years of age, the Investigator shall notify his or her parent(s)/guardian(s) that they may attend investigatory meetings in which the Complainant is involved. The complaint and identity of the Complainant, Respondent, or witnesses will only be disclosed as reasonably necessary in connection with the investigation or as required by law or policy. The investigation may include, but is not limited to the following: 
•	A request for the Complainant to provide a written statement regarding the nature of the complaint; 
•	A request for the individual named in the complaint (hereinafter “Respondent”) to provide a written statement; 
•	A request for witnesses identified during the course of the investigation to provide a written statement; and 
•	Review and collection of documentation or information deemed relevant to the investigation. 

The Investigator shall consider the totality of circumstances presented in determining whether conduct objectively constitutes bullying or harassment. Upon completion of the investigation, the Investigator shall issue a report with respect to the findings. 

Additional suggestions for administrative procedures regarding this policy include: 

•	Organizing training programs for students, school employees, and volunteers regarding how to recognize bullying and harassing behavior and what to do if this behavior is witnessed; and
•	Developing a process for evaluating the effectiveness of this policy in reducing bullying and harassing behavior. 

Decision 
If, after an investigation, a student is found to be in violation of the policy, the student shall be disciplined by appropriate measures, which may include suspension and expulsion. If after an investigation a school employee is found to be in violation of this policy, the employee shall be disciplined by appropriate measures, which may include termination. If after an investigation a school volunteer is found to be in violation of this policy, the volunteer shall be subject to appropriate measures, which may include exclusion from school grounds. 

A school employee, volunteer, or student, or a student’s parent or guardian who promptly, reasonably, and in good faith reports an incident of bullying or harassment, in compliance with the procedures in the policy adopted pursuant to this section, to the appropriate school official designated by the school district, shall be immune from civil or criminal liability relating to such report and to participation in any administrative or judicial proceeding resulting from or relating to the report.

Individuals who knowingly file false bullying and/or harassment complaints and any person who gives false statements in an investigation may be subject to discipline by appropriate measures, as shall any person who is found to have retaliated against another in violation of this policy. Any student found to have retaliated in violation of this policy shall be subject to measures up to, and including, suspension and expulsion.  Any school employee found to have retaliated in violation of this policy shall be subject to measures up to, and including, termination of employment. Any school volunteer found to have retaliated in violation of this policy shall be subject to measures up to, and including, exclusion from school grounds.

Code No. 104R.1
   Page 3 of 3

NOTE: School districts must include a number of requirements in the district anti-bullying/anti-harassment policy. This regulation builds on the requirements addressed in IASB sample policy 104 by more specifically detailing sample investigation procedures. Districts should ensure that the district’s practice is reflective of the policy and regulations that the district’s leadership team has established. Please remember that the procedures outlined here should be consistent with the policy. 

NOTE: Some conduct that falls under a school’s anti-bullying/anti-harassment policy also may trigger responsibilities under one or more of the federal and state antidiscrimination laws. By limiting the response to a specific application of its anti-bullying/anti-harassment disciplinary policy and the accompanying procedures, a school may fail to properly consider whether the alleged conduct also results in discriminatory bullying and/or harassment.

      Code No.  105.1
						Page 1 of 1

SEX OFFENDERS

Pursuant to Iowa law, an individual required to register on the Iowa Sex Offender Registry for a conviction involving a     sex offense against a minor (“registrant”) is prohibited from being on school property or in any school vehicle.  The only exceptions are as follows:

A registrant who is a parent or legal guardian of a minor is allowed on school property solely during the period of time reasonably necessary to transport the parent’s own minor child or legal guardian’s own ward to or from a place on      school property.

A registrant who is legally entitled to vote shall be allowed on school property solely for the period of time reasonably necessary to exercise the right to vote in a public election if the polling location of the offender is located on school property.

A registrant who is a student on the Sex Offender Registry must have board approval to attend a particular school.

Written permission may be obtained to attend a specific event or to speak to school personnel from the school   administrator or the school administrator’s designee.  To request written permission, the registrant must complete and submit the Registrant Request Form.  The form can be obtained by contacting the administrative office by telephone or email.  This provision does not apply to a registrant requesting permission to be on school property in his or her role as employee, contractor, vendor, or volunteer.  No written exception is allowed for operating, managing, be employed by, or acting as a contractor or volunteer on school property.

Approved     11/14/16                          Reviewed     11/14/16`              Revised      11/14/16             

Legal Reference:	Iowa Code 692A

Central Lyon Community School District Registrant Request Form

This form shall be used to document the Principal’s response to an individual’s, on the Sex Offender Registry (SOR) (hereinafter “registrant”) request to come onto school grounds.  
The registrant must seek permission for each and every occasion using a separate form for each request.

The school administrator or the school administrator’s designee shall use the “Criteria for Granting or Denying Consent” in the IASB document “New Sex Offender Law:  Summary for Schools” for guidance in determining whether or not to grant permission to a registrant.  A copy of the IASB document is available upon request.
Registrants whose request is granted shall keep a copy of this completed form with them each time they come onto school grounds.

To be Completed by Registrant	

Full Name ____________________________________________  Phone Number __________________________
                                         (first, middle, last)	
Address ______________________________________________  Email Address __________________________
	
Requested Visit Date _______________  Building or location to be visited                      __                                                     

Reason for request (check at least one):
•	Confer with school staff concerning my child’s academic, disciplinary or placement, including matters   required by federal or state law.
•	Attend a school activity. (activity name) 			                                                                              
o	Is a child, for whom you are legally responsible, participating in the activity?  Yes/No (Circle One)
•	Attend a non-school sponsored activity which is (activity name)  ___________________________________

Registrant recognizes that permission to be on school grounds is at the discretion of the principal, or designee.  Permission is granted for the sole reason, time, location, etc. listed below.  Registrant recognizes that he/she is not permitted to be in any location, including restrooms, other than that listed below.

Signature _______________________________________________	Date ______________________
					
Principal’s Response	
•	Registrant is required to provide additional information as follows:	
•	Registrant must follow check-in and check-out requirements as follows:	
•	Registrant must be directly supervised while on school grounds by the following individual(s) designated by the Principal:	
•	Registrant is restricted to the following designated location(s) on schools grounds:	
•	Registrant may only be on school grounds during the following time period:	
•	Request by registrant to be on school grounds is denied.	

Principal’s Signature _______________________________________________	Date ______________________
The completed form shall be kept on file at school. A copy of this completed form shall be provided to the registrant.