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Sexual Misconduct Reporting Form
Wilson College is committed to addressing the issues of sexual harassment, gender discrimination and sexual violence. We need and appreciate your sharing critical incidents or concerns with us. This confidential web form is designed to receive information pertaining to any specific incident or concern.
Enter your first and last name, the person reporting this event. (optional)
Cell phone (optional)
Information Related to the Incident
Basic information required to submit a complaint.
Location of the incident
Date of the incident
Time (can be approximate)
Please indicate the type of sexual misconduct. Check all that apply.
Attempts at non-consensual contact (threat, intimidation)
Non-consensual contact (touching)
Non-consensual sexual intercourse
Sexual exploitation (non-consensual video or audio-recording of sexual activity, voyeurism, etc.)
Sexual harassment (unwelcome, gender-based verbal or physical conduct)
Required information regarding the alleged victim
Gender of the alleged victim. (The person allegedly to be the victim of the act>)
- Select -
Select the choice that best represents the alleged respondent (same as above):
Faculty or staff
Non-student, community member
Any other individuals involved? If so please indicate how many and their respective gender(s)
Detailed Information (optional)
Information submitted in this area will result in further investigation by the college.
First and Last name of the alleged victim. (The person allegedly to be the victim of the act)
The first and last name of the respondent. (The person allegedly to have committed the act.)
Describe in detail the incident, including the names of potential witnesses.
If you have other documentation or information you would like to share, please contact Dr. Mary Beth Williams at email@example.com.
Submitting the report
Please check the box below. Checking the box below will confirm that you understand that all reports will be reviewed. Confidentiality is an important value; however, the college has an obligation to interview individuals or review organizations and events that might violate college policy and create an unsafe environment.
I understand and I pledge that the information submitted is accurate, to the best of my knowledge.