MSUM adheres to the Minnesota State Equal Opportunity and Nondiscrimination in Employment and Education Policy found here. In addition, we adhere to the procedure for report/complaint of discrimination/harassment Investigation and Resolution, which is found here.
Purpose of this Form: Any individual who believes they have been or are subject to conduct prohibited by the Equal Opportunity and Nondiscrimination in Employment and Education Policy is encouraged to report the behavior to the designated officer using this form. This information may be used in addressing and disciplining the accused individual.
In addition, any student, faculty member or employee who knows of, receives information about or receives a complaint of discrimination/harassment is strongly encouraged to report the information or complaint to the designated officers of the university by using this form.
Completing this Form: Please enter as much of the information below as you are able. By clicking on the submit report below, you acknowledge that you are submitting a complaint to the University's designated officer.
All information provided is considered voluntary. You are not legally required to provide this information. It is expected that any information that you provide is truthful.
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: As defined by the policy, retaliation includes, but is not limited to, intentionally engaging in any form of intimidation, reprisal or harassment against an individual who has been involved or believed to be involved in an inquiry or investigation associated with this policy. Any individual subject to this policy who intentionally engages in retaliation shall be subject to disciplinary or other corrective action as appropriate.
Anonymous reporting happens when you do not disclose your name or the identities of the other parties involved. Depending on what information is shared, action by the University may be limited. The designated officer will determine appropriate next steps as required by relevant laws and policies.
Consultation: You may consult a designated officer at MSUM directly before and after completing this form:
Troy Schmidt, Assistant Dean of Students: troy.schmidt@mnstate.edu or 218-477-2174
Kayla Kappes, Campus Human Resources Officer: kayla.kappes@mnstate.edu or 218-477-2226
Other Forms: Please report Sexual Violence incidents here.