Sexual Misconduct Reporting Form

Purpose

This form is intended to be used to report incidents of sexual misconduct or assault to Central Texas College District ("CTCD") when either the victim or the person being accused is a CTCD student or employee.

Definitions

Sexual misconduct/ assault can entail physical, verbal, written, audible, visual and/or electronic activity and includes but is not limited to: sexual violence; sexual harassment; sexual exploitation; dating/intimate partner violence; domestic violence; stalking; sexual coercion; and sexual exploitation as defined by state and federal law and Central Texas College policy.

Anonymous reporting is allowed pursuant to Chapter 51 of the Texas Education Code. There will be no retaliation for good faith reports of sexual misconduct/ assault

Resources

IF YOU ARE IN IMMEDIATE DANGER, CALL 9 1 1.

Contact CTCD Police at (254) 526-1427 any time, day or night, to report an incident of sexual misconduct/ assault or for support or information.

The following offices are also available during regular business hours for support and more information about resources.

Student Life (254) 526-1258

Student & Employee Assistance Center (Counseling Support) (254) 526-1166

Title IX Coordinator (254) 501-3028/(940) 217-9244

Human Resources (254) 526-1128

CTC Police (254) 526-1427

For more information about the CTCD policy, see Title IX information at

http://www.ctcd.edu/locations/central-campus/student-support/title-ix/ or Human

Resource Policy 221 located in the faculty & staff web page.

Incident Specifics

Please select any and all conduct that applies to include physical, verbal, written, audible, visual and electronic activity. The definitions below are only examples that do not necessarily reflect all prohibited conduct and are not intended to be legal definitions of a crime or act.

Sexual Harassment- unwelcome conduct of a sexual nature and/or to one’s gender, including but not limited to unwelcome sexual advances, requests for sexual favors, sexual violence, being singled out for adverse conduct due to one’s gender, and other verbal or nonverbal conduct of a sexual or gender-related nature. Sexual Violence- physical sexual acts perpetrated against a person’s will or when a person is incapable of giving consent due to the victim’s use of drugs or alcohol or other disability, including age. Sexual violence includes but is not limited to rape, sexual assault, sexual battery, fondling, incest or any other behavior used to obtain sexual gratification against another’s will or at the expense of another.Dating Violence- violence committed by a person who is or has been in a social relationship of a romantic or intimate nature with the victim.Domestic Violence- includes felony or misdemeanor crimes of violence committed by a current or former spouse of the victim, or by a person with whom the victim shares a child in common, or by a person who is cohabitating with, or has cohabitated with the victim as a spouse, or by a person similarly situated to a spouse of a victim under the domestic or family violence laws of the jurisdiction receiving grant monies, 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 the jurisdiction.Sexual Coercion-the use of manipulation or threat to force someone to have sex.Stalking- the engaging in a course or 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 to suffer substantial emotional distress.Sexual Exploitation- taking non-consensual or abusive sexual advantage of another for one’s own advantage or benefit, or to benefit or advantage anyone other than the person being exploited, including but not limited to, non-consensual video or audio-taping of sexual activity or undetected viewing of another’s sexual activity.Other:

While providing details is essential to investigating your complaint, please be advised that some or all of the information you provide in this section may be shared with the accused. You may supplement this description later if you wish to share additional information.

By clicking Submit Report below, your report will be forwarded to the CTCD Police Department for review and you will be initially contacted by someone on their staff provided your report is not marked as anonymous.

Your report may also be forwarded to another authorized CTCD department for further handling, such as the Title IX Coordinator for students or employees, CTCD Student and Employee Assistance Program, or outside law enforcement agency as appropriate.

By submitting this form, I certify the information I have provided is true and accurate to the best of my knowledge.