Report an incident of sexual assault or interpersonal violence
  • Form Submission

    It is strongly advised to submit this report to the campus Title IX Coordinator, Yhara Zelinka, within 48 hours of any incident.

  • Reporter Information

  • Report/Disclosure

  • Date Format: MM slash DD slash YYYY
  • You may use initials only for Disclosure form. Identity will not be exposed except in very limited circumstances.
  • Recomended/Expected Action of Reporter

  • 1. Disclosure Only: Share information without a request to conduct an investigation
    2. Filing a Report: Investigation and action by College is requested
    What resources were provided to the student/employee affected?
  • Verification

  • Example: 23