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Discrimination, Harassment, and Sexual Misconduct Reporting Form


If this is an emergency or you need immediate assistance, please call 911. You can also call campus safety at 610-499-4200 (Chester Campus), 302-477-2200 (Delaware Law School), or 717-541-1911 (Commonwealth Law School).

This form should be used to report incidents of alleged discrimination, harassment, including Bias Incidents, and all forms of sexual misconduct including sexual assault, sexual harassment/discrimination, dating/domestic violence, stalking, and sexual exploitation.

Students, faculty, staff, and non-community members are encouraged to use this form if they believe that they have been impacted by, were a witness to, or have information of a potential violation of Widener University's Equal Opportunity, Harassment, and Nondiscrimination Policy. Faculty and Staff who are Required Reporters must use this form to report all known details of potential policy violations if an incident was disclosed to them by a student. All Required Reporters must provide their own name when submitting a report. 

Individuals that are not Required Reporters can submit a report anonymously by leaving the name and contact information fields blank.

The submitted report is reviewed by the Title IX Coordinator and Equal Opportunity Officer, who will keep the information as private as possible and will assess next steps based on safety concerns for the individuals involved and the campus community. The information in the report will only be shared with those who have a role in addressing the alleged misconduct and/or providing supportive measures. Upon submission, the complainant (the person who was harmed by the alleged misconduct) will be contacted to assess needs for resources and supportive measures and to be made aware of procedural options for resolution. 




Background Information

We thank you for submitting a report. Widener University is committed to creating and sustaining a safe environment for all students and employees.

If you are submitting this report on your own behalf, you will be contacted by the Title IX Coordinator or designee.

If you are submitting this report on behalf of someone else or as a Required Reporter, the complainant will be contacted by the Title IX Coordinator or designee.

Please know that retaliation of any form will not be tolerated against anyone, who in good faith, makes a report to the Title IX Coordinator or participates in a university resolution process.

 
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Required Reporters must provide name
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relationship to harmed person
Email address must be of a valid format.
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please use Widener email if you have one
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If unknown, select today's date
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if unknown, put current time
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Involved Parties

Please include the names of all involved parties, including the complainant, respondent, and any witnesses, if known. Complete to the best of your knowledge and leave any items blank that you do not know.

You must provide all known details including names if you are a Required Reporter.

 

ROLE DEFINITIONS

Complainant: the person(s) who was harmed by the alleged misconduct.

Respondent: the person(s) who engaged in the alleged misconduct.

Witness: any person(s) who have information about the alleged misconduct.

Involved party 1

Please provide as much information as possible. There is also a section below to add attachments

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Does the complainant know that you are making this report?(Required)
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Nature of the relationship between the complainant and the respondent prior to the incident(Required)
This field is required.
How would you characterize the incident? (check all that apply)(Required)
You must make at least one selection.
If the incident was discrimination, harassment, or a bias-incident, please select the protected class that the alleged misconduct was based. (check all that apply)
You must make at least one selection.
Describe the kind of pressure or forces used in the alleged incident. (check all that apply)(Required)
You must make at least one selection.
To avoid duplication of efforts and to provide the best support, please share the offices that have been notified of this incident (select all that apply)
You must make at least one selection.
This field is required.

Supporting Documentation

Please add any additional documentation, such as pictures, texts, and emails, etc. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission