Sexual or Gender-Based Misconduct Report

This form may be used to submit complaints, reports or concerns about sexual or gender-based misconduct, including sexual harassment, sexual assault, stalking, and dating/domestic violence. The information you provide is sent directly to the Illinois Wesleyan Title IX Coordinator(s) for their review and response. The privacy of this information will be maintained to the greatest extent possible, while allowing the University to review and respond to the incident as needed to protect safety and promote accountability.

If you have experienced sexual violence and you are not sure whether you want to report to Illinois Wesleyan, you can call the 24-hour confidential hotline for Stepping Stones through PATH at 888-802-8890 and they can assist/support you during this process. You may use this form to report anonymously by not including your contact information.

You are encouraged to review Illinois Wesleyan's Title IX policy and outreach web site so that you can learn more about options for support/assistance, confidential and non-confidential reporting, and what the University's resolution processes involve. If this incident may also constitute a crime, you are encouraged to report it to the police, but you have the right not to do so.
1.Please provide as much information as you are comfortable sharing. If you prefer to meet with the Title IX Coordinator to ask questions and share information in person, you can just fill in your contact information below and you'll receive a phone call or email to discuss the reporting process and your options. NOTE: If you want to remain anonymous, do NOT include your name or other contact information.

This report provides the opportunity to report incidents of dating violence, domestic violence, gender-based harassment or discrimination, sexual discrimination, sexual harassment, sexual violence, or stalking. If you wish to remain anonymous, do NOT include your name or other contact information.
2.Are you the survivor of the misconduct?
3.Position/Title/Role
4.Type of Incident(s). Check all that apply.(Required.)
5.Location(s) of Incident(s). Check all that apply(Required.)