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Sexual Misconduct and Harassment Reporting Form

Reporting Form

Get help using 'Reporting Form'
* Required
  • Anonymous form for Sex-Based Discrimination and Harassment
Person Filing This Form (Please check all that apply):
Person Filing This Form (Please check all that apply):

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Survivor/Victim/Complainant’s Affiliation to Mount Mary (Please check all that apply):
Survivor/Victim/Complainant’s Affiliation to Mount Mary (Please check all that apply):

.

Perpetrator/Respondent’s Affiliation to Mount Mary (Please check all that apply):
Perpetrator/Respondent’s Affiliation to Mount Mary (Please check all that apply):

.

Approximate Date and Time of Incident:
Location of Incident:
Type of Incident (Please check all that apply). Definitions of each category are below.
Type of Incident (Please check all that apply). Definitions of each category are below.

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What is Prohibited Under this Policy:

Mount Mary University (“University”) promotes an atmosphere of care and respect grounded in the University’s core values, Christian principles, and mission to develop the whole person.  As such, the University does not discriminate on the basis of sex in any of its education or employment programs or activities. Title IX of the Education Amendments Act of 1972 (“Title IX”), its regulations, and certain other federal and state laws prohibit discrimination in such a manner. Under Title IX, discrimination on the basis of sex includes sexual harassment. Title IX’s requirement not to discriminate in any of the University’s education programs or activities applies to both students and employees and extends to both admission and employment.

 

This policy prohibits discrimination on the basis of sex. Discrimination on the basis of sex includes sexual harassment. 

 

Sexual harassment is defined by Title IX as conduct on the basis of sex that satisfies one or more of the following:

 

  • A University employee conditioning the provision of an aid, benefit, or service of the University on an individual’s participation in unwelcome sexual conduct;

 

  • Unwelcome conduct determined by a reasonable person to be so severe, pervasive, and objectively offensive that it effectively denies a person equal access to the University’s education program or activity; or

 

  • Sexual assault, dating violence, domestic violence, or stalking.

Sexual assault is defined as an offense classified as a forcible or non-forcible sex offense under the uniform crime reporting system of the Federal Bureau of Investigation and includes the following classes of conduct: rape, sodomy, sexual assault with an object, fondling and incest.

 

Dating violence is defined as violence committed by a person who is or has been in a social relationship of a romantic or intimate nature with the victim and where the existence of such a relationship shall be determined based on a consideration of the length of the relationship, the type of relationship, and the frequency of interaction between the persons involved in the relationship.

 

Domestic violence is defined as felony or misdemeanor crimes of violence committed by a current or former spouse or intimate partner of the victim, by a person with whom the victim shares a child in common, by a person who is cohabitating with or has cohabitated with the victim as a spouse or intimate partner, by a person similarly situated to a spouse of the victim under Wisconsin’s domestic or family violence laws, or by any other person against an adult or youth victim who is protected from that person’s acts under the domestic or family violence laws of Wisconsin.

 

Stalking is defined as engaging in a course of conduct directed at a specific person that would cause a reasonable person to fear for his or her safety or the safety of others; or suffer substantial emotional distress.

Please provide any other information about this incident, including a brief narrative, that you would like us to have:
Would you like us to contact you?
    (Note: Please do not complete this section if you wish to remain anonymous)
Name:
Email:
Phone:
MMU ID Number:
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