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Title IX: Sexual Misconduct, Interpersonal Violence, or Stalking


If this is an emergency situation that requires medical, psychological, or police services, call 911. Do not use this reporting form if an immediate response is required.

This form may be used to report incidents of sexual misconduct (sexual harassment, sexual assault, intimate partner violence, sexual exploitation, or stalking), as well as possible discrimination related to sex, gender, or gender identity/expression. The report is submitted directly to the Title IX Coordinator, who will respond via email or phone within 48 hours when the University is open, in order to conduct additional inquiry and ensure the well being of the affected individual(s) and campus community.

Responsible employees (all University faculty/staff, and Advocates) are required to include their name and contact information when completing the form. Any other person may submit this form anonymously but should understand this may significantly limit the University's ability to respond.

Background Information

Provide your name and contact information so the appropriate staff can follow-up with you as needed.

 
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Are you a student/faculty/staff/other?
Email address must be of a valid format.
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Involved Parties

Involved parties: Please list the individuals or organization involved in the situation, including any witnesses or others with knowledge of the incident. Include as many of the listed fields as you can provide. Additional information may be provided during the follow up with the Title IX Coordinator.

Involved party 1

Incident Narrative

Fill out the information below:

Please Select the nature of the incident (choose as many as apply)
You must make at least one selection.
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Did the Police respond to this incident?(Required)
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I understand by submitting this form the Office of Equity and Diversity/Title IX will initiate its follow-up process with the affected individuals. I also understand that submitting this form does not equate to filing a formal complaint with the the Title IX Office. Overview of the formal Title IX complaint and investigation process will be discussed with affected parties during the follow-up meeting.(Required)
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Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission