Self-Reported:
Contact Name
Email
Phone
Subject
Description
Status--None--New In Process Responded Escalated On Hold Solution Offered Solution Rejected Investigating Inv Closed Remediating Closed
Case Record Type--None--IT Case Titile IX (Private) Title IX
Survivor Status:--None--Student Staff Faculty Not affiliated with GC Other Unknown
Reporter Status:--None--Student Staff Faculty Not affiliated with GC Other Unknown
Survivor Anonymous:
Incident Location:Campus housing Campus-owned property Property adjacent to campus Other GC Other non-GC
Location Description:
Incident Date/Time:
Survivor Gender:--None--Woman Man Transgender Prefer not to answer Other
Offender Gender:--None--Woman Man Transgender Prefer not to answer Other
Offender Status:--None--Student Staff Faculty Not affiliated with GC Other Unknown
Offender Name:
Multiple Offenders:
Offender Details:
Additional Information: