Office of Diversity, Equity, and Inclusion

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Anonymous Report Form

If you have questions about completing this form or your reporting options, please contact the DEI office, dei@wou.edu, 503.838.8002.

ANONYMOUS REPORT FORM

Sexual or Relationship Violence Incident

REPORTER INFORMATION
Reminder: Employees of WOU are considered required reporters, thus the anonymous option is not available (unless the employee is the person who was harmed).
Your Full Name or Anonymous*
Email
Your Phone Number
DID YOU*
- Experience this situation
- Know someone who experienced this situation
Select the appropriate box.
INVOLVED PARTIES
Involved parties may include: students, employees, or advisers, as well as clubs, groups, organizations, or teams. You can use this form to identify non-WOU individuals as well. If you are unsure, please describe the person or people below.
Involved Parties*
List Involved Parties here.
INCIDENT SPECIFIC INFORMATION
Enter in as much information as you feel comfortable giving. Please know that the more details you give us to work with, the better we may be able to assist.
Date of Incident*
Location of Incident*
Describe the incident as detailed as possible*
Captcha

Western Oregon University’s Land Acknowledgement
Western Oregon University in Monmouth, OR is located within the traditional homelands of the Luckiamute Band of Kalapuya. Following the Willamette Valley Treaty of 1855 (Kalapuya etc. Treaty), Kalapuya people were forcibly removed to reservations in Western Oregon. Today, living descendants of these people are a part of the Confederated Tribes of Grand Ronde Community of Oregon and the Confederated Tribes of the Siletz Indians.

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WOU prohibits discrimination on the basis of race, color, sex, national or ethnic origin, age, religion, marital status, disability, veteran status, sexual orientation, gender identity, and gender expression in all programs, activities and employment practices as required by Title IX, other applicable laws, and policies. Retaliation is prohibited by WOU.

Office of Diversity, Equity, and Inclusion

Anonymous Report Form

ANONYMOUS REPORT FORM

REPORTER INFORMATION

INVOLVED PARTIES

INCIDENT SPECIFIC INFORMATION

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