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Sexual Misconduct or Title IX Complaint Form
Your name:
First
Last
Your email address:
Your cell phone number:
Location of incident:
*
Date of incident:
*
MM slash DD slash YYYY
Time (can be approximate):
*
:
Hours
Minutes
AM
PM
AM/PM
Please provide a brief description of the incident:
*
Name of the alleged victim:
First
Last
Gender of the alleged victim:
Female
Male
Select the choice that best describes the alleged victim.
Manna University student
Faculty or staff
Non-student, community member
Visitor
Name of the person responsible:
First
Last
Gender of the person responsible:
Female
Male
Select the choice that best describes the person responsible:
Manna University student
Faculty or staff
Non-student, community member
Visitor
Were any other individuals involved? If so, please indicate how many, their names, and their respective gender(s).
Please check the box below to confirm that you understand that all reports will be reviewed. Confidentially is an important value; however, the University has an obligation to interview individuals or review organizations or events that might violate University policy and create an unsafe environment. Filing a false claim is a serious violation of Manna University community standards and will be dealt with diligently.
*
I understand, and I pledge that the information submitted is accurate.
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This field is for validation purposes and should be left unchanged.
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Prospective Students
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Academics
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Academic Catalogs
Auditing Courses
Academic Calendar
Online Learning
Virginia On-Campus
Academic Programs
Academic Catalogs
Auditing Courses
Academic Calendar
Online Learning
Virginia On-Campus
Admissions & Aid
Admissions
Tuition & Costs
Financial Aid
Admissions
Tuition & Costs
Financial Aid
Student Life
Student Life Resources
Student Stories
Safe Campus (Title IX)
Student Life Resources
Student Stories
Safe Campus (Title IX)
About Manna U
About
Accreditation
Administrative Council
Alumni
Careers
Contact
Core Faculty
Join the Movement
Meet Our Mascot
National Awards
Our Partners
About
Accreditation
Administrative Council
Alumni
Careers
Contact
Core Faculty
Join the Movement
Meet Our Mascot
National Awards
Our Partners
News & Events
Dream Run
Golf Tournament
News
Newsletter
Dream Run
Golf Tournament
News
Newsletter
Continuing Education
Foundations of Music Theory
International Fellowship Of Chaplains
Foundations of Music Theory
International Fellowship Of Chaplains