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SJCON Title IX Reporting Form

Reporting Party Information

This portion of the report is designed to procure the reporting party's contact information.  You do retain the ability to report a complaint anonymously and can opt out of this part of the form.  If you wish to remain anonymous you may leave the following questions blank and continue onto the next page.
Your full name (optional):
Your position\title (optional):
Your phone number (optional):
Your email address (optional):
By selecting 'I Agree' you acknowledge that you may be contacted regarding the complaint should you identify your name or leave the appropriate contact information (i.e. phone number, email address).(Required.)