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Policy 923 Non-Discrimination and Harassment Report Form


This form is to be used if you wish to self-report an incident that involves a violation of Policy 923 Non-Discrimination and Harassment or if you wish to third-party report a violation of Policy 923. If you are unsure of your options, please contact the Office of Equal Opportunity and Title IX at 812-237-8954.

Policy 923 Non-Discrimination and Harassment.

Indiana State University prohibits discrimination on the basis of: age, disability, genetic information, national origin, pregnancy, race/color, religion, sex, gender identity or expression, sexual orientation, veteran status, or any other class protected by federal and state statutes. Discrimination based upon any protected class is strictly prohibited in ISU programs and activities or that interferes the educational or workplace environment. ISU recognizes that discrimination and harassment may take many forms, and it is our collective commitment to respond promptly and vigorously to discriminatory or harassing behavior.

Sexual harassment is a form of sex discrimination and may occur in both the educational environment and the employment environment. Sexual harassment in the educational environment includes: An employee, including a student employee, and conditioning educational benefits on participation in unwelcome sexual conduct (i.e., quid pro quo); Unwelcome conduct of a sexual nature that a reasonable person would determine is so severe, pervasive, and objectively offensive that it effectively denies a person equal access to the educational institution’s education program or activity; or Sexual assault, dating violence, domestic violence, or stalking. Sexual harassment in the employment environment may include conduct experienced or engaged in by an employee that is sexual in nature and which has the effect of unreasonably interfering with another person’s work or educational performance, or which creates an intimidating, hostile, or abusive environment.

Please Note: This report does not constitute the Formal Complaint as provided in Policy 923.4.

Please provide your contact information

 
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Name(s) of the Parties Involved (person making the accusation and/or person being accused)

Please provide detailed contact information of the person(s) you believe to be involved in a Policy 923 violation.

Involved party 1

Questions

What is your affiliation with Indiana State University?(Required)
You must make at least one selection.
Please select the category that best describes the form of discrimination you either experienced, witnessed, or are reporting as a third party (select all that apply).(Required)
You must make at least one selection.
Do you believe retaliation has occurred because of participation in an investigatory process or because a report was made to the Office of Equal Opportunity and Title IX?(Required)
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Supporting Documentation

Please provide any supporting documentation that you feel is relevant to this incident. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission