Sexual Harassment Policy

Complaint Form

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If you believe that you have been unlawfully discriminated against, harassed, assaulted or otherwise harmed, you are required to fill out this complaint form. However, depending on the information you verbally provide, the College may be obligated to investigate even without your formal, written complaint. The College can only base its findings and take actions based on the information provided by you.


Your Name:

(First & Last)

Alternate Phone:
Email Address:  
S Number:
Which best describes you?

If you are not the victim,

please include their name:

Which best describes the victim?

Name(s) of who you believe

committed the alleged act(s):

Which best describes this person?
Date of incident:    [None] Select a Date Delete the Date

Please describe the alleged incident(s),

when and where it occurred.


 Identify all individuals with knowledge of the

conduct about which you are complaining.


Please describe your requested

remedy for this complaint.

To investigate your complaint, it will be necessary to interview you, the alleged respondent(s), and any witnesses with knowledge of the allegations or defenses. The statements and the information that you are providing may be attributed to you and could be included in any investigative reports that are prepared. Further, it may be necessary to include you as a witness in any hearing that may occur due to these alleged incidents.

Authorization to disclose the identity of
the person reporting this incident: