REPORT SEXUAL HARASSMENT/VIOLENCE - Southwestern Illinois College

IMMEDIATE THREATS

or

DIAL 911

  • Sex Discrimination and Sex-Based Harassment Report Form

    This report documents alleged incidents of sex discrimination and sex-based harassment
    (including quid pro quo sexual harassment, hostile environment harassment, sexual assault, domestic violence, dating violence, stalking, and sexual exploitation).

    Filing this report does not constitute filing a formal complaint.

    EMERGENCIES

    If there is an immediate risk to health or safety, please call Campus Safety at 618-222-5555 (ext.5555) or 9-1-1.

    or

    DIAL 911

    Important Filing Information

    *This report may be submitted anonymously. Please note that choosing to make an anonymous report can significantly limit the ability of the College to respond.

    **This information is not mandatory but is valuable in allowing the college to look into the concern.

  • Involved Parties:

    Please list the parties involved and provide as much information as you have available to you.

    “Complainant”: means a person who is allege to have been subject to conduct constitute sex discrimination.

    “Respondent”: means a person who is alleged to have violated the College’s prohibition on sex discrimination.

  • NameRoleStudent ID NumberPhone Number