Contact Information

Contact Id

User Id

SFBU Title IX Reporting Form/Statement

SFBU prohibits sexual misconduct. Sexual misconduct includes but is not limited to, sexual or gender-based harassment, sexual assault, domestic violence, dating violence, sexual exploitation, and stalking. SFBU encourages reports of sexual misconduct so the complainant can receive the support they need and the University can respond appropriately.

Title IX of the Education Amendments of 1972 (20 U.S.C. 1681, et seq.) prohibits discrimination on the basis of sex in education programs or activities operated by recipients of federal financial assistance. Title IX protects students from sex discrimination (including sexual violence and sexual harassment) in programs or activities operated by educational institutions that receive federal funding.

Background Information

Your Name

SFBU ID (if applicable)

Your Phone Number

Your Email Address

I wish to remain anonymous to the reported parties.

YesNo

Type of Report

Risk of Threat or Harm

Date of Incident

Time of Incident

Location of Incident

Specific Location

Involved Parties

Please be sure to include:

- the name(s) of all parties involved
- the name(s) of any witnesses or individuals who may have knowledge of the event(s)
- Involved Parties may be contacted to discuss incident

Name or Organization

Role in Incident

Email Address

Please explain other affiliation

Phone Number

Responding party is a:

SFBU ID (if applicable)

Other Information

Would you like to report additional involved parties?

YesNo

Name or Organization

Role in Incident

Email Address

Please explain other affiliation

Phone Number

Responding party is a:

SFBU ID (if applicable)

Other Information

Report Details

Complaining/Reporting party is a:

Please provide a narrative description of the incident(s). Type as much detail as possible.

For mandated reporters: On what date was the incident reported to you?

Supporting Documentation

Photos, video, email, and other supporting documents may be attached below.