Sexual Misconduct & Title IX Reporting -Lamar Institute of Technology

Sexual Misconduct & Title IX Reporting

Use this form to report gender-based discrimination or harassment, including sexual misconduct

What type of incident are you reporting?

Sexual harassment - Unwanted and offensive sexual advances or sexually offensive remarks or acts, especially made by one in a superior or supervisory position or when acquiescence to such behavior is a condition of continued employment, promotion, or satisfactory evaluation. Examples may include unwanted conversation, obscene gestures, comments, jokes, touching of a sexual or lewd nature, staring/leering or whistling
Sexual Misconduct/Inappropriate behavior - Non-consensual, intentional physical conduct of a sexual nature, such as unwelcome physical contact. Lack of consent may be inferred from the use of force, threat, physical intimidation, or advantage gained by the victim's mental or physical incapacity or impairment of which the perpetrator was aware or should have been aware
Other

Your Contact Information (person filing the report)

Do you wish to provide your contact information?

Yes No

First Name

Last Name

Phone Number

T-number

Street

City

State

Zip

Location of the incident

Street

City

State

Zip

Incident Details

Date of the incident:

Description of the incident: (required)

Names of individuals that may be involved. If not applicable, enter N/A.

Did the incident happen more than once?

Were you the target of this behavior?

Was there anyone injured?

Did anyone witness the incident?

Was anyone outside the organization involved in the violation?

Has the incident been reported to anyone outside campus?

Additional Details

What is your relation to the institution?

Additional Comments (1000 characters)

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