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Title IX Report


Report an Incident of Sexual Harassment or Sexual Misconduct

 

Note: If you are experiencing an emergency, or if there is an imminent risk to your well-being or that of another person, contact the Sinclair Police at 937-512-2700.

Sinclair College strongly encourages the prompt reporting of sexual harassment or sex discrimination. This form may be used by:
* A person who believes they experienced sexual harassment; or
* A person who has information that sexual harassment may have been committed.

Your complete report form will be sent directly to the Sinclair Title IX Coordinator or you may also contact the Title IX Coordinator directly at

Carol J. Glaser-Atkins
Title IX Coordinator
carol.glaser-atkins@sinclair.edu

Sinclair Community College
444 West Third Street
Dayton, OH 45402
(937) 512-2961


The Title IX office will contact you in response to your submission of the report. Click on this link to review the Sinclair Sexual Harassment and Sex Discrimination Procedures. Click on the back button to return to the reporting page.

If you wish to remain anonymous, do not submit your name, position, phone or email address or request that a copy of this form be emailed back to you.

Background Information

 
Email address must be of a valid format.
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Who is the report about? If more than one person, list all persons involved.

Please answer the following questions as best as you can. If you are unable to answer a questions, leave it blank.

Involved party 1

Nature of Your Concern

Additional information needed and a description of the nature of your concern

What is your gender?(Required)
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What is the best way to contact you?(Required)
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Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission