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Sexual and Gender-Based Misconduct Anonymous Reporting Form


This form should be used to report an incident involving an alleged violation of the Skidmore College Sexual and Gender-Based Misconduct Policies and the Anti-Harassment Policy . Students, staff, or faculty wishing to file a report on their own behalf or anyone wishing to file a report on behalf of a Skidmore College student or employee can utilize this reporting form.

 

NOTE: College employees, including all faculty and staff, must report to the Title IX Coordinator (Joel Aure, 518-580-5708) if they receive notice of an incident of sexual or gender-based misconduct.



Skidmore College takes incidents of sexual and gender-based misconduct seriously. If you as a student survivor or reporter wish to remain anonymous, fill out this Anonymous Report Form. The university will use this information for statistical purposes, to better understand the scope of sexual violence on campus, and to develop and implement preventive efforts. If you fill this form out with a College employee, the report will no longer be anonymous.

The College is required to investigate allegations of sexual and gender-based misconduct to the best of its ability. As a result, the college will follow up on any specific, identifying information provided in this anonymous report.

If you wish to discuss a concern while maintaining confidence to the greatest extent possible, you have the following options:

  • On-Campus Student Resources:
    • Counseling Center (518-580-5555)
    • Health Services (518-580-5550)
      • You may confidentially contact both the Counseling Center and Health Services after hours by calling Campus Safety at 518-580-5566 and asking for the on-call clinician. There is no need to leave your name. Just leave your phone number and the clinician will call you back.

    • Wellspring & Planned Parenthood Victim Advocate Office Hours (3rd fl of Case Center)
    • Victim Advocate Liaison
      • Contact Kristen Corcoran, Health Educator, to schedule a meeting: 518-580-5684

 

  • Off-Campus
    • Wellspring: 24-Hour Hotline: 518-584-8188
    • Saratoga Hospital Emergency Room: 518-583-8313
    • Saratoga Planned Parenthood/Schenectady Planned Parenthood: 518-584-0041 or 518-374-5353
    • New York State Sexual Violence Hotline
      • English:1-800-942-6906
      • English TTY: 1-800-818-0656
      • Spanish: 1-800-942-6908
      • Spanish TTY: 1-800-780-7660
    • Employee Assistance Program (available to employees only)
      • 518-793-9768 or 1-800-734-6072
        • EAP crisis counselors are available 24 hours a day, seven days a week.

 

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 Campus Safety at 518-580-5566.




To submit an anonymous report of sexual or gender-based misconduct, please fill out the form below to the best of your ability, and submit. Please note that some questions ask you to check all the answers that apply, so you may make more than once selection.

Reporter Information

 
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Questions

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Victim/Survivor Information How does the survivor identify? (check all that apply)
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Victim/Survivor's affiliation to Skidmore College:(Required)
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Offender Information How does the offender identify? (check all that apply)
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Offender's affiliation to Skidmore College:(Required)
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Offender's relationship to Survivor:
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Incident Information Was the survivor given alcohol and/or other drugs without consent or knowledge?
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Type of behavior experienced (check all that apply; click HERE to refer to policy definitions) *Please Note: the acts listed reflect policy violations in the Title IX and/or Enough is Enough policies. If this incident(s) occurred prior to this year and the behavior is not accurately reflected, please select "SGBM: Other":(Required)
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To your knowledge, has anyone previously reported this incident to another department or office (for example: Campus Safety, Residential Life, Student Conduct, etc.)?
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If you are a survivor filling out this form, are you working with a Victim Advocate?
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NON-ANONYMOUS REPORTING If you wish for the College to investigate the matter you are reporting, please report the matter to the Skidmore College Campus Safety (518-580-5566) or the Title IX Coordinator (518-580-5708). Once you contact these offices or disclose identifiable information to a Skidmore College employee, the college will have a duty to investigate based on available information. Would you like someone to contact you regarding this report?
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Supporting Documentation

If you have additional information you would like to include with this report, such as pictures or other documents, please upload them here. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission