Sexual Health, Advocacy & Relationship Education

Report Form for Sexual Misconduct, Dating or Domestic Violence, and Stalking

If this is an emergency that involves an imminent risk of harm to self or others, please call Reed Community Safety at 503-788-6666 or 911.

Go to form below

You can use this form to report any kind of sexual harassment or assault, relationship violence, or stalking. This form may be submitted anonymously. The information will be sent to the Title IX Coordinator, the Community Safety Office, and the SHARE Program Director. Deidentified information 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.

PLEASE NOTE: This report may be completed without sharing names, and names may be shared at a later time (or never). If you choose to share a specific name using this form, please be aware that the college may use this information to address the incident described in the report. While it is inherently difficult to gather the full facts in response to anonymous reports, the college will nonetheless conduct an investigation. The investigation will be as thorough as is practicable and will be appropriate to the specific report. This may include contacting any parties named in the report and sharing the information in the report with them.

Please be aware that you have the option to talk to a confidential resource (see more information below) before choosing to share any specific names, to better understand what next steps the college may take to address the report.

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, information, and resources are available from the SHARE program directorConfidential support, information, and resources are available from the SHARE program director (503-517-7966 or frostr@reed.edu), SHARE advocates (advocates@reed.edu) or Reed Health & Counseling Center (503-517-7349). Off-campus support is available 24/7 from Call to Safety (503-235-5333)

* 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


I understand I have the option to share specific names or not, now or at any time in the future. I understand that if I share any specific name(s), the college will generally reach out to the named individual(s) to address the incident(s) described in this report. I understand that I can reach out to a confidential source to discuss my options. *


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, Program Director for SHARE (Sexual Health, Advocacy & Relationship Health)
frostr@reed.edu
503-517-7966
Chris Toutain, Title IX & 504 Coordinator
toutainc@reed.edu
503-517-4842
Gary Granger, Director of Community Safety
grangerg@reed.edu
503-777-7379
Michelle Rogers, Community Safety Investigator
rogers@reed.edu
503-517-7902
Community Safety (for emergency or urgent matters)
503-788-6666