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Sexual Misconduct Report Form


This form is for reporting potential violations of our Sexual Misconduct Policy which includes the following behaviors; Sexual Harassment, Sexual Assault, Dating/Domestic Violence, Stalking, and Sexual Exploitation.

Students and Employees are encouraged to use this form if they believe that they have been impacted or were a witness to a potential violation of the Sexual Misconduct Policy. Employees are required to use this form to report potential violations if an incident was disclosed to them by a student.

The submitted report is reviewed by the Title IX Coordinator who will keep the information as private as possible. The information contained in the report will only be shared with those who have a role in addressing the policy violation. The complainant (the person who experienced the alleged misconduct) will be contacted to assess needs for resources and supportive measures, and the respondent (the person who engaged in the alleged misconduct) will only be contacted on an as needed basis. The Title IX Coordinator will assess next steps based on safety concerns for the individuals involved and for the campus community.

It is the responsibility of the Title IX Coordinator, a staff member of the Office for Diversity, Equity, and Inclusion to manage these incidents, facilitate supportive measures, and oversee the processes related to resolution of sexual misconduct incidents.

If you or someone you know has been impacted by sexual misconduct, there are a variety of resources and support on our website. Resources are available for on- and off-campus incidents and several are available 24 hours a day.

The University may share non-identifying information about reports received in aggregate form, including data about outcomes and Disciplinary Sanctions.

Please note that submissions using this form are not received outside of normal business hours. If there is an immediate risk to health or safety, please contact WCU Public Safety at 610-436-3311.

Reporter Information

We thank you in advance for submitting a report. West Chester University is dedicated to maintaining an environment that prioritizes the safety, health and well-being for all members of the campus community. The University is committed to equality of opportunity and freedom for unlawful discrimination which includes behaviors or actions that fall under the Sexual Misconduct Policy.

If you are submitting this report on your own behalf, you will be contacted by a member of the Office for Diversity, Equity, and Inclusion staff as a follow-up.

If you are submitting this report on behalf of someone else, the complainant will be contacted by a member from the Office for Diversity, Equity, and Inclusion.

Please know that Retaliation – in any form – will not be tolerated against any individual who, in good faith, makes a report with the University or participates in a sexual misconduct investigation or process.

 
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Complainant is who experienced the alleged misconduct.
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Respondent is who engaged in the alleged misconduct.
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If unknown, please select the date you were made of aware & notate in Incident Description below
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Room Number, Floor, Lobby, etc.

Involved Parties

From your knowledge, please list all involved parties, including the complainant, respondent, and witnesses.

Completing this portion of the form is optional. If you are not comfortable entering this information into the form, please call the Office of Diversity, Equity and Inclusion at 610-436-2433 to report this information directly.

  • Complainant: person who experienced the alleged misconduct.
  • Respondent: person who engaged in the alleged misconduct.
  • Witness: person who has knowledge related to specific aspects of alleged misconduct.
Involved party 1

Questions

Please provide as much information as you have and/or feel comfortable sharing. If you are not comfortable providing information, please write "NA." There is also a section below to add attachments.

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Does the complainant know you are making this report?
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Nature of relationship between the complainant and respondent prior to the incident (check all that apply):
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How would you characterize the incident (Check all that apply):
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Describe the kind of pressure or force used by the referred. (check all that apply)
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To avoid duplication of efforts and provide the best support, please share with us all the people and/or organizations that have been notified of this incident. (check all that apply)
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Supporting Documentation

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

Submission