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Report Form: Discrimination, Harassment, Gender-Based Misconduct


This form should be used to report an incident involving an alleged violation of the Highland Community College Equity Grievance Policy (including sexual harassment, sexual assault, gender-based harassment, domestic violence, dating violence, sexual exploitation, and stalking) by anyone wishing to file a report on behalf of a Highland Community College student or employee.


Please note that submissions using this form may not be reviewed outside of normal business hours.
If there is immediate risk to health or safety, please contact the Police at 911.

Background Information

As a reminder: all College faculty members, staff members, and administrators, with the exception of those working in a confidential capacity (e.g., counselors) who learn of suspected instances of discrimination, harassment or gender-based misconduct, directly or indirectly, have a duty to report the information immediately to the Title IX Coordinator.

 
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Involved Parties

Please list the individuals involved (excluding yourself), including as many of the listed fields as you can provide.

Involved party 1

Narrative Information/Notifications

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Type of complaint: (please check one)(Required)
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Basis of Complaint:(Required)
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Please indicate other departments that have been notified (optional): In Kansas, victims 18 yrs. of age and older may choose whether or not to report to law enforcement. The College will report incidents involving students under 18 to law enforcement.(Required)
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What is your relationship with the accused/assailant(s)?(Required)
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Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. Maximum 12 megabytes per file Attachments require time to upload, so please be patient after you click to submit this report. Attachments must be sent as Microsoft Word or Adobe PDF files. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission