If you are currently still employed and being harassed, discriminated against, or retaliated against, or if when you were employed, you were being harassed, discriminated against, or retaliated against.
Please describe the conduct against you that you believe is/was harassment, discrimination, or retaliation:
If you are currently still employed and being harassed, discriminated against, or retaliated against, or if when you were employed, you were being harassed, discriminated against, or retaliated against, please list all reasons why you believe you are/were being harassed, discriminated against, or
retaliated against:
If you are currently still employed and being harassed, discriminated against,
or retaliated against, or if when you were employed, you were being harassed, discriminated against, or retaliated against, please state the approximate date when the last incident of harassment, discrimination, or retaliation, occurred: