Report an Incident

Please use this form to report harassment or discrimination on the basis of a protected characteristic. This could include incidents such as sexual misconduct, sexual harassment, stalking, intimate partner or dating violence, discrimination, or discriminatory harassment.

You can find Kenyon’s Office for Civil Rights at kenyon.edu/civilrights.

You can find a copy of Kenyon’s Civil Rights Policy at kenyon.edu/crpolicy.

You can include as much or as little information as you want. You do not have to include your name, though that may hamper the ability of the College to investigate and respond appropriately.

If the Complainant’s name is given they will be contacted, if it is appropriate, by email as soon as possible by the Civil Rights/Title IX Coordinator or Deputy Coordinator. If you and/or the complainant would like to contact the Civil Rights/Title IX Coordinator or Deputy Coordinator you may find their contact information at kenyon.edu/crcontact.

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Type of Incident
Name of person making report
Email
Your email is not included in your form submission unless you choose to provide it in this field.
Phone
Complainant Name
The person who was the target of the experienced behavior being reported
Complainant Email
Complainant Phone
The complainant is a:
Check all that apply.
Respondent Name

The person who committed the behavior being reported.
Respondent Email
Respondent Phone
The respondent is a:
Check all that apply.
Date of Incident
MM
/
DD
/
YYYY
Time of Incident
Time
:
Incident Description
Describe the incident as clearly as possible. Include a full description of the event, verbal statements made, and what, if any, physical contact or discriminatory behavior was involved. Please include all information; be as detailed as possible.
Have you reported the incident to any of the following?
Check all that apply.
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