Title IX Reporting

* Required

Reporting Form

Thaddeus Stevens College of Technology (TSCT) is committed to addressing issues of sexual misconduct: sexual harassment, gender discrimination, dating violence, domestic violence, sexual assault, and stalking. We appreciate you sharing critical incidents or concerns with us. This confidential form is designed for you to report information pertaining to any form of sexual misconduct. (Note: All information with *designation is required.)

Reporting Party First and Last Name:

Email:

Cell Phone:

Name of Person Harmed (Optional):

Email (Optional):

Cell Phone (Optional):

Name of Person Accused (Respondent):

Email:

Cell Phone:

Location:

Date of the Incident:

Time (Can be Approximate):

Select the choice that best represents the alleged respondent:

Please list any other individuals who witnessed/have knowledge of this incident:

Are the persons involved in this incident aware a report is being made?

Any other person harmed?

Has Campus Security or Law Enforcement been notified?

Security (King Street): 717-396-7165 | Security (Orange Street): 717-391-7225

Pennsylvania State Police Troop J Address: 2099 Lincoln Hwy, Lancaster, PA 17602 Phone: 717-299-7650

Please indicate the type of sexual misconduct. Check all that apply:

Attempts at non-consensual contact (threat, intimidation)
Non-consensual contact (touching)
Non-consensual sexual intercourse
Sexual exploitation (non-consenual video or audio-recording of sexual activity, voyeurism, etc.)
Sexual harassment (unwelcome, gender-based verbal or physical conduct)
Stalking
Domestic violence
Dating violence
Other

Please provide details related to the reported incident. Include as much detail as you can, including a description of what happened, the names of the parties involved and their relationship to TSCT (if known), and the location of the incident.

If you have other documentation or information you would like to share, please contact the Title IX Coordinator: wilson@stevenscollege.edu

SUBMITTING THE REPORT

Inserting your name in the box below signifies your official signature. An official signature indicates you are submitting a formal complaint to Thaddeus Stevens College of Technology. No signature indicates that you would like to discuss the matter with the Title IX Coordinator as soon as possible.

Signature:

Note: All submissions are reviewed and handled according to TSCT Title IX Policy.

Confidentiality

If you desire that the details of the incident be kept confidential, you may speak with the staff in the Counseling Office at: https://stevenscollege.edu/contact-counseling-services/

Note: All Thaddeus Stevens College of Technology faculty and staff are required to report all incidents of sexual misconduct. Once you have spoken with a College employee, it is considered notice to the institution.