Title IX "Report It" Form
What is your name?
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First Name
Last Name
What is your email address?
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example@example.com
I am a:
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Current BMCU Student
Faculty Member
Staff Member
Non-BMCU Student, Faculty or Staff
I am reporting:
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Inappropriate Behavior
Suspicious Behavior/Activity
Behavior violating the BMCU policy on Student Conduct and Judiciary
Sexual Harassment
Sexual Assault/Dating Violence/Stalking/Domestic Violence
What happened? Tell us about the incident you are reporting:
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Date and time of behavior you are reporting:
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Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Location of the Event:
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Other information you would like to give regarding this report:
Please verify that you are human
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Submit
Should be Empty: