Reporting Sexual Misconduct, Discrimination and/or Harassment, and Campus Climate Concerns

Reporter Information

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Your Full Name:

Your Position/Title:

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(Student, Faculty, Staff, Other)

Your Phone Number:

Your Email Address:

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Report Urgency(Required):

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Incident Information(Required):

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Incident Location:

Involved Parties

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

Name or Organization

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Phone Number

Email Address

Incident Information

Describe the incident as clearly as possible. Please provide a full and detailed description of the events below.(Required) This field is required.

Have you filed a report with the University Police Department or local police?

Yes No

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If "yes," please specify which. This field is required.

Are you a mandatory reporter? Mandatory Reporter: All University employees (with limited exceptions) including faculty, administrators, residence coordinators, and residence advisors, must report any incidents of possible sexual misconduct including sexual harassment or sex-based discrimination, of which they are aware. Reports must be made within 24 hours of receipt of information.(Required)

Yes No

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Date of incident (if known): This field is required.

Time of incident (if known): This field is required.

Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. There is a 12 megabyte maximum per file. There is a 5GB maximum total size for all documentation. 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

Reporter Information

Involved Parties

Incident Information

Supporting Documentation

Submission