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Sexual Harrasment Consent Form

Everyone should have to sign one of these!

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Sexual Harassment Consent Form

NAME:________________________________________
SOCIAL SECURITY NO:___________________________
ADDRESS:______________________________________
CITY:__________________________________________
ZIP CODE:______________________________________
HOME TELEPHONE #:____________________________
MALE:__________________ FEMALE:_______________
OFFICE TELEPHONE #:____________________________

SEXUAL PREFERENCE:
Male - Female:________________
Male - Male:__________________
Female - Female:_______________
All of the Above:______________
None of the Above:____________

I consent to the following forms of sexual harassment:
Salutatory Greetings:_________________________
Eye - to - Eye Contact:________________________
Eye - to - Bust Contact:_______________________
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 NOT;_______________
1. Assist in procurement of various potions, lotions, products, etc., to be used during sexual harassment.
2. Procurement and maintenance of various types of sustaining apparatus.
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 to performance rating and evaluation.

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