MyFranciscan

Notice: All Franciscan University employees (which include all faculty, staff, and administrators) are considered "responsible employees" and are obligated to promptly report actual or suspected discrimination, harassment or sexual misconduct to one of the appropriate University officials designated in Section III of the Policy on Discrimination, Harassment and Sexual Misconduct.  Anonymous reporting does not satisfy this mandatory reporting obligation.

* If someone other than a University “responsible employee” wants to make a report of discrimination, harassment or sexual misconduct on his or her behalf or on behalf of another person, but wishes to remain anonymous, you may do so by completing this secure Anonymous Online Form. It is important to understand that if you choose to file an anonymous report, the University's ability to investigate, respond or take further action may be limited by the level of information available about the incident or individuals involved. The University will handle anonymous reports in a sensitive manner and will endeavor to protect the privacy of individuals to the extent it can do so consistent with its obligations to respond to complaints. Information will be shared with others only to the extent necessary to respond to the situation and in accordance with state and federal law. As such, strict confidentiality may not be guaranteed.

Date of Incident

Time of Incident (AM/PM)

TYPE Of INCIDENT:

     (Check all that apply)

If other, please explain:

* LOCATION Of INCIDENT: (required)

Campus building (Please select)

Residence Hall (Please select)

Campus grounds (Please select)

Off-campus (Please specify)

ALLEGED VICTIM INFORMATION:

Last Name

First Name

MI

Address:

Cellular Telephone

Home Telephone

Email Address

ALLEGED VICTIM AFFILIATION TO FUS:

(If other, please explain)

ALLEGED PERPETRATOR INFORMATION:

Last Name

First Name

MI

Address

Cellular Telephone

Home Telephone

Email Address

ALLEGED PERPETRATOR AFFILIATION TO FUS:

      (If other, please explain)

DESCRIPTION OF INCIDENT: Be as specific as possible as to what happened.