Submit a Sexual Misconduct Report

Complete the form to notify Ģ��Ƶ about a sexual misconduct incident.

Please use the form below to submit a Sexual Misconduct Incident Report to Ģ��Ƶ. Please provide our office with as much detail about the incident as possible. You should include a working phone number, e-mail address, and your first and last name, so that we may follow up with you if there are additional questions. Anonymous reports may limit the ability for Ģ��Ƶ to address the incident you are reporting.

* indicates a required field.

Date of this report *

* Required

The 'Date of this report' field is required. Please enter a valid value for this field.

Date of incident: *

* Required

The 'Date and time of incident:' field is required. Please enter a valid value for this field.

Time of Incident

Location of incident (be as precise as possible)

This field is required.

Describe the incident briefly *

* Required

This field is required.

Name of victim * * Required

This field is required. Only valid characters allowed: A-Z, a-z, space, hyphen, period.

Name of accused person

The 'Name of accused person' field is required. Please enter a valid value for this field.

Your name and contact information

Ģ��Ƶ will not share your information and it will be kept confidential except for Title IX purposes.

Name *

* Required

This field is required. Only valid characters allowed: A-Z, a-z, space, hyphen, period.

Phone *Required

Please enter a valid phone number

E-mail * * Required

The 'E-mail' field is required. Please enter a valid value for this field.

Your relationship to the victim *

Self Other

The 'Your relationship to the victim' field is required. Please enter a valid value for this field.

If other, please explain *

* Required

This field is required. Only valid characters allowed: A-Z, a-z, space, hyphen, period.

By submitting this form, you acknowledge that you intend to sign this form electronically and that your electronic signature is the equivalent of a handwritten signature, with all the same legal and binding effect. You are giving your express written consent without obligation for Ģ��Ƶ to contact you regarding our educational programs and services using e-mail, phone, or text, including automated technology for calls and/or texts to the mobile number(s) provided. For more details, including how to opt out, read our privacy policy or contact an admissions advisor.

Contact Title IX Coordinator

Jamie Thayer
Title IX Coordinator
��-��:��titleixcoordinator@umgc.edu
��ڴھ��:��800-888-8682, ext. 17930

Address

Ģ��Ƶ Headquarters
3501 University Blvd, East
Office of Community Engagement & Opportunity
Adelphi, MD 20783
Get Directions to Ģ��Ƶ Headquarters

Contact Security

��-��:��security@umgc.edu
�ʳ�ǲԱ�:��240-684-2911

Address

Ģ��Ƶ Headquarters
3501 University Boulevard East
Administration Building
Adelphi, MD 20783
Get Directions to Ģ��Ƶ Headquarters

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