Sexual Assault Prevention and Response at Reed

Anonymous Report Form for Sexual Misconduct,
Relationship Abuse, and Stalking

You can use this form to report any kind of sexual harassment or assault, relationship violence, or stalking. The information will be sent to the Community Safety Office and the Title IX Coordinator, and may be included in the Annual Security Report. Completing this form is not the same as making a police report or filing a complaint with the Title IX Board. For more information, please see the Sexual Assault Reporting page. When possible, the college will take steps to address the incident described in the report, although any investigation or remediation will be limited by the information available.

If the information you disclose represents a serious or continuing threat to the Reed community, a Timely Warning may be issued by Community Safety so that others may protect themselves. However, even if your identity were known, it would not be disclosed in the warning.

Anonymous reports are used to gather and record information regarding the incidence of sexual assault and other forms of misconduct on and around our campus, and to inform the community about the campus climate.

Confidential support and resources are available to anyone affected by sexual or relationship violence. Please consider calling the Reed Student Advocates (503/847-9772), Call to Safety Crisis Line (503/235-5333), or Reed Health & Counseling Center (503/517-7349).

* Required field

Person filling out this form

Survivor/Victim
Friend/Acquaintance/Family Member
Faculty/Staff
Other:


Survivor/Victim's Gender Identity


What is the survivor/victim's affiliation to Reed?

Check all that apply.

Student
Alumni
Faculty
Staff
Visitor
Other:
Not applicable (graffiti or other non-target-specific behavior)


Perpetrator/Offender's Gender Identity


What is the perpetrator/offender's affiliation to Reed?

Check all that apply.

Student
Alumni
Faculty
Staff
Visitor
Other:
Not applicable (graffiti or other non-target-specific behavior)


Do the survivor and the perpetrator know each other?

Strangers
Acquaintances
Friends
Current romantic partner
Former romantic partner
Supervisor
Co-workers
Faculty-student
Other:
Not applicable (graffiti or other non-target-specific behavior)


Approximate date and time of the incident

Date of the incident:

Time of the incident: :


Was coercion or force involved?

Please check all that apply

No coercion or force
Verbal pressure or manipulation
Intimidation or coercion
Threats to harm victim or others
Physical force (pushing, etc.)
Incapacitation of survivor due to drugs
Incapacitation of survivor due to alcohol
Abuse of authority (supervisor, etc.)
Presence of a weapon
Abduction
Other:
Not applicable (graffiti or other non-target specific behavior)


Location of the incident

Residence hall or college apartment
On campus but not in housing
Off-campus
Off-campus College sponsored event
Unknown
Optional: specify location


Type of incident

Please indicate any incident in which the behavior was unwelcome or consent was not present. Check any that apply.

Sexual harassment (verbal, nonverbal, or physical), including requests for sexual favors in exchange for some benefit, or hostile environment (creating a climate that is intimidating, hostile, or offensive)
Sexual contact without penetration (groping, fondling)
Sexual assault (penetration of the mouth, vulva, or anus by a body part or object, or being made to penetrate another)
Sexual exploitation (explicit videotaping or photographing someone without their consent; sharing explicit video or photos without consent)
Flashing (exposure of genitals)
Domestic violence (verbal, sexual, and/or physical abuse between people who live together)
Dating violence (verbal, sexual, and/or physical abuse between people do not live together but are in a romantic relationship)
Stalking (repeated behavior that is alarming, harassing, or menacing)
Graffiti
Other:

Other information that you would like us to have


Spam prevention *


Optional

Would you like us to contact you?

Please do not fill this out if you wish to remain anonymous.

Name:
Email or phone:

I would like to be contacted by

Please check all that apply

Rowan Frost, Assistant Dean for Sexual Assault Prevention & Response
frostr@reed.edu
503/517-7966
Mike Brody, Title IX Coordinator
brodym@reed.edu
503/777-7521
Gary Granger, Director of Community Safety
grangerg@reed.edu
503/777-7379
Community Safety
503/788-6666

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