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Bryant & Stratton College Sexual Misconduct Reporting Form

This form is used for reporting an incident of Harassment, Discrimination, or Sexual Assault to the Title IX Office at Bryant & Stratton College. Please provide as much information as possible. By completing this form you are triggering an investigation into the incident unless you make an anonymous report. Individuals who wish to anonymously report an incident should be aware that their anonymity may inhibit the College’s ability to conduct a full investigation of the incident, provide support, and/or update the student regarding actions taken. Data compiled from this form assists with the compilation of statistical records for assaults that occur on the campus.

If you choose to use this form to report an incident anonymously, please leave all questions asking for personally identifying information blank. If you change your mind and wish to file a formal report, please contact your campus Title IX Coordinator. You may also file a report at any time with the New York State Police at 1-800-845-7269 or call 911.

Information regarding Bryant & Stratton’s policies can be found in the Bryant & Stratton College Catalog at https://www.bryantstratton.edu/degrees/catalog (Opens in a new window).

In the event of an emergency, please call 911

*Required Field

Background Information

Your full name: (Optional)

Are you student/faculty/staff?:

Which campus do you attend/work?:

Your phone number: (Optional)

Your email address: (Optional)

*Nature of this report:

*Date of incident: (MM/DD/YYYY)

*Location of incident:

Specfic location:

Investigation: I do not want an investigation to occur.

Involved Parties

Number of Offenders:

Please list the individuals involved (excluding yourself), including as many of the listed fields as you can provide. You may add information on additional involved parties by clicking on the Add button.

Name or Organization:

Gender:

Phone Number:

Email:

Relationship to Offender:

Affiliation with Bryant & Stratton:

Estimated Age at Time of Incident:

Racial Ethnicity:

Description of Concerns

Please provide a detailed description of the incident/concern using specific concise, objective language (who, what, where, when, why, and how)

Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. 1GB maximum total size. (Optional)

Attachments required time to upload, so please be patient after submitting this form.

One Last Step...

Email me a copy of this report