Online Title IX Report

DO NOT USE THIS ONLINE COMPLAINT FORM IF YOU ARE NOT IN A SAFE ENVIRONMENT. If you are in any danger of continuing harassment, contact 911 and Campus Security at 214-379-5599.

This online form may be used by PQC students or employees, or others (not affiliated with the College) who have been involved in a possible Title IX incident involving a PQC student or employee.

Question Title

* 1. If you wish to make an anonymous complaint, leave your name blank. In order for the College to fully investigate this complaint, your contact information will be needed. During a Title IX Investigation, the College cannot withhold your name from the alleged perpetrator. The details of a Title IX investigation are not public information and will be maintained in confidential files within the Title IX Office.

Your Name:

Question Title

* 2. Contact Information

Email Address

Phone Number

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* 3. Are you a PQC Student?

yes

No

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* 4. Do you or the accused perpetrator reside in PQ Housing?

Yes

No

Question Title

* 5. Name of Alleged Perpetrator:

Question Title

* 6. Describe details of incident:

Question Title

* 7. Please provide any additional information you believe the College should be aware of to investigate this incident.