ghostxdreams2 1,488 Report post Posted October 12, 2013 Name:______________________________ SOCIAL SECURITYNo:____________________ADDRESS:___________________________CITY:__________________________________STAFF ELEMENT:_____________________ HOME PHONENo.:________________________MALE:___________ FEMALE:___________ OFFICE PHONENo.:______________________SEXUAL PREFERENCE: Male - FemaleFemale - FemaleMale - MaleAll of the AboveNone of the Above - Please Specify:_____________________I CONSENT TO THE FOLLOWING FORMS OF SEXUAL HARRASSMENT:Salutatory Greeting: _____________________Eye-to-Eye Contact: ______________________Eye-to-Bust Contatct: ____________________Eye-to-Below Waist Contact: ______________Heavy breathing on neck: _________________ear: __________________other: ________________Hands on body: ___________________________shoulder: _______________________waist: __________________________Gluteus Maximus: ________________other: __________________________Feelies: _________________________________Gropies: _________________________________Penetration (however slight): ____________Other: ___________________________________All of the Above: ________________________MISCELLANEOUS: I WILL I WILL NOT1. Assist in procurement of various potions, lotions, products,appliances,etc. to be used during sexual harassment.2. Assist in procurement and maintenance of various types of substainingapparatus.3. Clean up.I CERTIFY THAT I WILL ACCEPT SEXUAL HARASSMENT FROM:Anyone: __________________________________Anyone But: ______________________________Only: ____________________________________SIGNATURE: _______________________________________ DATE:____________________This form is to be reviewed by immediate supervisor annually, prior toperformance rating and evaluation. Share this post Link to post Share on other sites