Discrimination/Harassment/Sexual Misconduct Reporting Form

By using this online reporting form, you are submitting information to the Monmouth College Title IX/VI Coordinator.

A time-sensitive incident may warrant an immediate response. If there is an immediate risk to health or safety, please call 911 to connect with medical support or local law enforcement. Reports submitted through this link may not be reviewed immediately if done outside of normal business hours, Monday-Friday, 8am – 4:30pm.

If you prefer not to use the online reporting, need assistance in completing this form, or encounter accessibility problems with the form, please call the Office of Title IX/VI at (309) 457-2114 for assistance.

Anonymous Reporting

An individual may report an incident without disclosing their name, identifying the respondent, or requesting any action. The College will attempt to investigate all reports; however, it is important to understand that making an anonymous report can significantly limit the College’s ability to respond.

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Other Individuals Involved and Witnesses

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Type of Misconduct, Discrimination, or Harassment
Check all that apply.
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Basis of Discrimination or Harassment
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Provide as much information as you can (month, day, year, time, semester) about when the incident occurred. If you do not have any information about when the incident occurred, please write, “unknown.”
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Please provide as much information as you can below. If known, please include building, house name, address, street name and/or cross streets.
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Please describe what occurred.
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Provide us with any supporting documentation by uploading them below or emailing them to the titleix@monmouthcollege.edu email address.

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(50 MB max)