Sexual Misconduct/Relationship Violence Reporting (Title IX)

Reporting Party Information

In completing this report you are considered the "Reporting Party" - the person providing information that a potential offense has occurred.

Please consider providing your name and contact information to allow us to call or email if we have additional questions regarding your report. If you wish to make an anonymous report you may do so. If enough information is provided an investigator will evaluate the report and determine what follow up (if any) is necessary to address the concerns.

Your full name:

Your position/title:

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Student, Faculty, Staff, Other

Your phone number:

Your email address:

Email address must be of a valid format.

Your physical address:

Date of incident(Required):

This field is required.

Time of incident:

Location of incident(Required):

This field is required.

Specific location:

Involved Parties

Please list all parties involved and provide as much information as possible in the demographic fields.
If you do not have access to the demographic information, please continue to submit the report; the information will be researched once the report is received.

For Non-Students, please list a driver's license number (if available) in the field labeled ECSU ID Number.
If an individual is a student at another college/university, please provide the name of that institution in the field labeled Specific Location.

NOTE THAT INVOLVED PARTIES INCLUDE

ACCUSED = individual or organization who may have violated University Policy

COMPLAINANT/VICTIM = individual who allegedly experienced sexual misconduct or relationship violence

REPORTING PARTY = person completing this report - if not the Complainant

WITNESS = individual, excluding yourself, who observed the alleged behavior and can provide information

PERSON OF CONCERN = person who is exhibiting concerning behavior as a result of the incident being reported

NON-ECSU STUDENT

Name or Organization

Select Gender

Select Role

ECSU ID Number

DOB (YYYY-MM-DD)

Phone number

Email address

Hall/Address

Description of Incident

Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. 1GB maximum total size. Attachments require time to upload, so please be patient after submitting this form. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Email me a copy of this report

Reporting Party Information

Involved Parties

Description of Incident

Supporting Documentation

Submission