Title IX Report

Prior to submission of this form, if you have questions regarding the College's response to allegations of Title IX Sexual Misconduct, or to discuss options available to you, please contact the Title IX Coordinator at 407 582-3421 or via email equalopportunity@valenciacollege.edu.

Fields marked with a must be filled out to submit the form.

Your Contact Information
Your Relationship to Valencia College

Involved Parties

Please write down the names of the parties involved. Please include all the information you have such as name, phone, email and relationship.


Incident Information

Detailed description of alleged misconduct.


Agreement

Please review and CHOOSE ONE of the options below:

By selecting this option, I certify that I am the Complainant as defined in College Policy 6Hx28:2-01-Discrimination, Harassment and Related Misconduct, and acknowledge my digital signature confirming that I am the Complainant in this report. I am requesting that Valencia College take appropriate action to respond to this complaint. This includes, but is not limited to, notifying the Respondent of the allegations, and based on US DOE Title IX Regulations, and this also includes notifying the Respondent of my identity. I acknowledge that because of submission of this formal complaint that I will be contacted by a representative of the College who will provide me with additional details regarding supportive measures available as well as additional information regarding the College’s process as outlined in 6Hx28:2-01-Discrimination, Harassment and Related Misconduct . I also acknowledge that the College’s ability to effectively respond to the allegations may be impacted by my decision to not participate in any possible investigation, Title IX Hearing, or informal resolution options.


OR

By selecting this option, I acknowledge that I am not the Complainant as defined in College Policy 6Hx28:2-01-Discrimination, Harassment and Related Misconduct. I am reporting to the college conduct that I have witnessed or have knowledge of occurring. I understand that my report does not constitute a formal complaint and am aware that the college will proceed in its review process which may include contacting the complainant and/or respondent listed in the report. I also acknowledge that the College’s ability to effectively respond to the allegations may be impacted should the Complainant decide not to participate in any possible investigation, Title IX Hearing, or informal resolution options.