Anonymous Reporting Form
Title IX of the Education Amendments of 1972 defines and ensures gender equity in education. The law prohibits all forms of sex or gender-based discrimination in any education program or activity that receives federal funding. Title IX applies to all Andrew College educational programs or activities, including sponsored off-campus programs.

Title IX states:
“No person in the United States shall, on the basis of sex, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any education program or activity receiving federal financial assistance.”
Title IX applies to all employees (administrators, faculty, staff), not just students, at the College.

As a member of the college community, you have a responsibility to report behaviors that potentially constitute sexual or gender based harassment or violence. When you become aware of an incident or potential incident, where the offender is an Andrew College student, faculty or staff member, you should complete the report immediately. Even if you are unsure or didn't see the event personally, please fill out this form anyway. This form will be sent to the Title IX/Clery Coordinator.

The Title IX coordinator, Jennifer Mitchell (jennifermitchell@andrewcollege.edu), coordinates the College's efforts to comply with and carry out its responsibilities under Title IX.

Complainant (Victim) Name:
Your answer
Complainant (Victim) Email
Your answer
Complainant (Victim) Cell Phone
Your answer
Third Party (Witness) Name
If you heard (written or verbally) this information third party or witnessed the incident.
Your answer
Third Party (Witness) Email
Your answer
Third Party (Witness ) Cell Phone
Your answer
Respondent ( Alleged Offender) Name
Your answer
Respondent (Alleged Offender) Email
Your answer
Respondent (Alleged Offender) Cell Phone
Your answer
Information about the Incident
Your answer
Please check ALL behaviors alleged to have occurred.
Reporter (Your Name)
Your answer
Reporter (Your) Email
Your answer
Reporter (Your) Cell Phone
Your answer
Your Role On Campus
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