Do not use this form to report events presenting an immediate threat to health or safety. If you require emergency assistance, please dial 911.
MSUM adheres to the Minnesota State Sexual Violence Policy found here. We adhere to the procedure Response to Sexual Violence, which is found here.
In addition, MSUM adheres to the Minnesota State Equal Opportunity and Nondiscrimination in Employment and Education Policy found here. In addition, we adhere to the Report/Complaint of Discrimination/Harassment Investigation and Resolution procedure, which is found here.
Purpose: This form is available for students, employees, or any concerned person for reporting information involving sexual misconduct matters. This includes instances of sexual harassment, sexual assault, dating violence, relationship violence, and stalking. This information is routed to Minnesota State University Moorhead Title IX Coordinator. This information may be used in addressing and disciplining the accused individual.
Support Services: Please know that support services are available at the Counseling Services (Hendrix) (on campus; Counseling Services) or Rape and Abuse Crisis Center (off campus-- www.raccfm.com, 701-293-7273 [24 hours]).
Anonymity: This form may be completed anonymously or with your name. Provide as much requested data that you are aware of and are comfortable providing. Limiting the information provided may limit the university’s ability to address the matter and provide assistance. Those who have a reporting responsibility to the University shall report the extent of information they have a responsibility in providing.
Formal complaints must include the name of the reporting party or complainant.
Uniform Amensty: Witnesses and victims who report an incident of sexual violence in good faith will not be sanctioned by the university for admitting in the report to a violation of MSUM’s University Alcohol and Other Drug Policy.
Confidentiality cannot be guaranteed. The information you provide will be used by an investigator and others within Minnesota State University Moorhead whose job assignment reasonably require access to the data to determine whether misconduct occurred and the extent, if any, of appropriate disciplinary action.
This report may be used by university administrators responsible for reporting data and statistics to Minnesota State system administrators, State of Minnesota officials, and federal agencies. In addition, it may be used in subsequent hearings or proceedings related to this matter. The reported information may also be released in accordance to local, state, or federal laws or with your consent.
Retaliation: Actions by a student or employee intended as retaliation, reprisal or intimidation against an individual for making a complaint or participating in any way in a report or investigation under the Sexual Violence Policy or Equal Opportunity and Nondiscrimination Policy are prohibited and are subject to appropriate disciplinary action.
Consultation: Consult the MSUM Title IX web page for additional resources: www.mnstate.edu/titleix or contact the Title IX Coordinator directly: Kara Gravley-Stack, kara.gravleystack@mnstate.edu, 218-477-4222.