This form is for all reports of alleged acts of discrimination, harassment and sexual misconduct that would violate the Stephens College Equal Opportunity, Harassment and Nondiscrimination Policy (inclusive of Title IX, ADA and Diversity, Equity and Inclusion concerns).

If you have questions about where to direct other conduct concerns, please contact the Equity Compliance Team at [email protected]

Please fill out the information below to the best of your ability. All information provided will be handled with the utmost privacy. 

All reports of discrimination, harassment and sexual misconduct made to Stephens College are taken with seriousness and will be addressed promptly. Stephens College strongly encourages all members of the College community to report complaints of discrimination, harassment and sexual misconduct. Reporters do not have to be the victim/survivor of the alleged offense in order to file a report. In most cases, College employees are required to disclose reports made to them.

You can make a report without any further participation in any investigation. You do not have to participate in an investigation or press charges to receive medical care, academic, employment, or other support. Retaliation against any person for making a report or participating in an investigation is strictly prohibited.

Deliberately false and/or malicious accusations under this policy are a serious offense and will be subject to appropriate disciplinary action. This does not include allegations that are made in good faith but are ultimately shown to be erroneous or do not result in a policy violation determination.

If you feel that your safety or the safety of the Complainant is at risk, please dial 911 or contact Campus Safety and Security at (573) 876-7299 or Ext. 4299.

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Name *
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Preferred Phone Number *
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Email:
Current Physical Address *
Nature of this report (select all that apply) *
Date of Incident

Involved Parties

Please list the individuals involved, filling in as many of the listed fields as you can provide.

Phone Number
Email:
Phone Number
Email:
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Incident Description/Concern

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Has the Claimant requested confidentiality? (i.e. that no College investigation be conducted or that no disciplinary action be taken)
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Supporting Documentation

Attach any photos, videos, emails and other supporting documentation below. If you need to submit additional files, please send them to [email protected]

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Maximum File Size: 8 MB
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Maximum File Size: 8 MB

One Last Step

I assert that the information I have included above is accurate to the best of my knowledge. *

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