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Complaint of Discrimination/Harassment, Sexual Violence, Dating Violence, Stalking


Please complete this form as thoroughly as possible. Upon submitting, your complaint will be immediately sent to several College administrators and you will be contacted as soon as possible regarding your complaint.

Please note that it is possible to submit this report anonymously, although this may limit the colleges ability to take appropriate action as we will not be able to follow up with the complainant.

Background Information

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Student/Staff/Faculty
Email address must be of a valid format.
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If there are many dates, what is the date this behavior started?
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Involved Parties

I feel that I was discriminated/harassed/retaliated against by: (If more than one, list information for each person)

Involved party 1

Questions

I feel that I was discriminated/harassed/retaliated against because of my:(Required)
You must make at least one selection.
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Supporting Documentation

If any, please attach documentation that you believe may be helpful in investigating this complaint. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission