Anonymous Sexual Harassment and Assault Report

This form is intended to track responses to reported incidents and to assess danger to the community. In addition, the information is used to track the numbers and types of sexual assaults on campus. According to the Clery Act, the University must report all known sexual assault claims. All answers will be kept confidential, except where prohibited by law. ALL QUESTIONS ARE ENTIRELY OPTIONAL; however, completing this form as fully and accurately as possible will be most effective in helping us respond appropriately to incidents and provide assistance to victims of harassment/assault. For all questions, concerns, or to skip this form and speak directly with our Title IX Coordinator -- Jamie Brennan -- please email jbrennan@regent.edu or call 757.352.4928.