Sexual Misconduct Complaint Form

Sexual Misconduct Complaint Form

Sexual misconduct is any non-consensual behavior of a sexual nature that is committed by force or intimidation or is otherwise unwelcome that is sufficiently severe, persistent or pervasive so as to limit a student’s ability to participate in or benefit from a COM program or activity or an employee’s ability to work in a non-discriminatory work environment.

This Incident Report is for incidents of Sexual Assault, Sexual Misconduct, Sexual Harassment, Dating or Domestic Violence, and Stalking ONLY. Filing this incident report constitutes official notice to College of the Mainland and authorizes the institution to investigate the information and allegations contained within the report and seek resolution. This report is NOT confidential; however, Clery Act reporting does not include any personal identifying information.

Submitting this report notifies the following College entities of the incident:

  • Vice President for Student Services, Dr. Vicki Stanfield - Title IX Coordinator – Students
  • Director of Diversity & Equity, Lonica Bush – Title IX Coordinator - Employees
  • Chief of Police, Sylvia Chapa
Please complete this form as thoroughly as possible, providing as much information as you have access to or knowledge of.

* indicates required fields

Information Regarding the Complainant
student faculty staff not affiliated with COM
current or former
Information Regarding the Alleged Victim (if he or she is not the complainant)
student faculty staff not affiliated with COM
current or former
Information Regarding the Respondent (alleged perpetrator)
student faculty staff not affiliated with COM
current or former
Information regarding the Alleged Misconduct (sexual assault, sexual violence, domestic violence, dating violence, or stalking):

You may wish to consider including, among other things, some or all the following information in your description: the gender of the parties, the relationship between the parties, whether one or more of the parties were under the influence of alcohol or drugs at the time of the alleged misconduct, whether the respondent used pressure or force (physical or otherwise) in the course of the alleged misconduct, and the frequency (if applicable) of the alleged misconduct.

Stay Connected with COM: