Incident Reporting Form

Questions marked with a red asterisk (*) are required for submission.

If you are reporting an incident of Bias, Crime, Hazing, or Student Behavioral Concern, proceed to the form below.

If you are reporting an incident of Sexual Harassment or Sexual Misconduct, read the following before proceeding to the form.

If you are a Responsible Employee reporting an incident of Sexual Harassment or Sexual Misconduct click here

If you are a student reporting an incident of Sexual Harassment or Sexual Misconduct, complete the form below.

By submitting a report through this form the information shared will be sent to the Title IX Coordinator or Deputy Title IX Coordinator to respond and address as well as provide support to those involved as needed. In the process they may share information with other personnel such as Public Safety and Community Standards but solely on a need to know basis in order to assist in the review, investigation, or resolution of the report or to deliver resources or support services. Some University IT personnel may be authorized to access the system for IT administration, maintenance and security purposes, but University guidelines prohibit accessing the content of the reports except to the limited extent necessary to perform such IT functions.

For more information about campus and community support and resources click here

For more information on related policies and how the information you submit will be used please click here

If this is an active situation or an emergency, please contact Public Safety immediately at 610-660-1111.

Type of Incident you Wish to Report. Check all that Apply: * Bias can involve conduct, speech, images, or expression that demonstrate conscious or unconscious bias which targets individuals or groups based on, but not limited to, the protected statuses named in the SJU Non-Discrimination Statement, as well as other social identities and life experiences.	Behavioral Concern (e.g., student) Bias Crime Hazing Health & Safety (e.g., COVID-19 concern) Sexual Harassment and Sexual Misconduct Dating Violence Domestic Violence Sexual Assult Sexual Harassment Stalking
Details of the Incident you Would like to Report: * Details could include date, time, location, people involved, as well as any available information about exactly what happened or what you know about the incident(s). If you are reporting a bias incident, specify the nature of the bias (race, gender, veteran status, socio-economic class, etc.)	Maximum of 4000 characters allowed. Currently Entered: 0 characters.

Person Submitting Report If you provide the information below, you will be contacted.
Name:
Email:
Phone:
University Affiliation: *

Supporting Documentation: Photos, video, email, and other supporting documents may be attached below. Attachments require time to upload, so please be patient after you click to submit this report.	Files Selected: No Files Selected

Saint Joseph's University

Incident Reporting Form

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