Sexual Misconduct Report

Identifying Information

Reminder: Employees of WU are considered required reporters, thus the anonymous option is not available (unless the employee is the person who was harmed).

Your full name or Anonymous:

Your phone number:

Your email address:

Email address must be of a valid format.

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To submit an anonymous report, please leave this field blank.

Employee involvement(Required):

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Was a Willamette University staff or faculty member involved as a complainant, respondent, witness?

Date of Report(Required):

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Location of incident(Required):

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Involved Parties

Involved parties may include: students, employees, or advisers, as well as clubs, groups, organizations or teams. You can use this form to identify non-Willamette individuals as well. If you are unsure, please describe the person or people below.

Incident Specific Information

Enter in as much information as you feel comfortable giving. Please know that the more details you give us to work with, the better we may be able to assist.

Are you reporting this incident for yourself or for another person?(Required)

I experienced this situation Someone I know experienced this situation

This field is required.

Describe what happened:(Required) This field is required.

The Title IX Coordinator will reach out via email to students who might have experienced unwanted situations or behavior from another person. Information about your report will be shared with the confidential advocate so they may initiate outreach. May Willamette University share information about this report to the confidential advocate? Selecting "No" means a confidential advocate will not reach out. To learn more about the confidential advocate role, please visit this link: https://willamette.edu/notalone/faqs/confidential-advocate.html(Required)

Yes No

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Supporting Documentation

Please attach any relevant supporting documentation, such as pictures, emails, etc., if you wish to share any at this time.

You may also request a copy of this report by checking the box at the bottom of the page and including your email in the "Identifying Information" section.

5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Email me a copy of this report

Identifying Information

Involved Parties

Incident Specific Information

Supporting Documentation

Submission