Please use this form to submit a report of an incident of sexual misconduct including discrimination, harassment or assault based on ability, age, ethnicity, gender, gender expression, race, sex or sexual orientation to the Title IX Coordinator. You may submit this form anonymously, however, the University’s ability to respond to the incident may be limited. The University will reach out to the Reporting Party (and/or the victim, if different and if known) to explore the report and options prior to opening a formal investigation.
What is your relationship to Bay Path University?
Are you filing a report on something that happened to you or something that happened to someone else?
Please provide the following information about yourself, as the person submitting the report.
You do not have to identify yourself; but, if information is shared, the University will follow up. Confidentiality will be maintained to the fullest extent possible and personally identifiable information will be shared only as necessary to resolve the complaint.
Middle Initial / Name:
Address Line 1:
588 Longmeadow St.
Zip / Postal Code:
Address Line 2:
If you are filing this report on behalf of someone else, provide the victim's information, only if the victim wishes.
What are you reporting?
Please identify the person against whom this complaint/report is being made (known as the Responding Party) and the relationship with or association to you.
Relationship/Association to you:
If there are additional Responding Parties (more than one person against whom a complaint is being made), please indicate accordingly below:
Please provide a detailed description of the incident, including people, dates, times, locations and any other relevant details:
If there are other witnesses to the incident, please provide information about them below. If they are known to you, please provide names and contact information. If they are not known, please provide a physical description:
Please include or upload any additional information and/or documentation that explains, describes or helps to support this report:
Thank you for submitting this report. The University will reach out to the Reporting Party (and/or the victim, if different and known) to explore the report and options prior to opening a formal investigation. Further inquiries regarding this report can be directed to Dinah Moore, Title IX Coordinator email@example.com
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