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Sexual Misconduct

Anonymous Reporting

This form is for any member of the Nazareth College community who has experienced or witnessed gender based and/or sexual violence including sexual harassment, sexual assault, dating violence, domestic violence or stalking. The Title IX Office will receive this form.

While the College takes all reports seriously, our ability to take action on anonymous reporting may be limited. Please know that safety is of utmost concern.

For more information about Title IX at Nazareth College, please visit naz.edu/titleix

* denotes required

Reporting Person

Choose 'yes' if you, the reporting person, choose to remain anonymous

Victim

Perpetrator

Witness

Provide any details you might want to include about any witnesses.

Incident

yes

Action

Does the victim desire legal and or Naz student conduct action against the accused

What resources has the victim utilized thus far?

Follow-up

Does the victim want to receive information about on and off campus supports, resources and/or accommodations?

Yes

Does the victim want information regarding the College student conduct process and/or does the victim want to contact law enforcement?

Yes