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 Linfield College
Sexual Misconduct & Relationship Violence

Sexual Misconduct and Relationship Violence Anonymous Reporting  Form

Reporting Information

The sexual assault anonymous report is used to gather and record information regarding incidents of sexual assault on or around our campus, and to inform the community about the campus climate. This form is anonymous and confidential and you will not be asked to provide your name or contact information.

Completing this form does NOT constitute a police report or a student conduct report. This information is submitted only to Linfield's Title IX Officers to be used on Linfield’s annual Security and Fire Safety Report, submitted to the Department of Education in compliance with the Clery Act.

Who is completing this form?

Incident Information

Survivor Information:

Campus:
Status:
Class:

Offender Information:

Campus:
Status:
Class:

Incident Details

What force or lack of consent was involved? (check all that apply):
Were any drugs or alcohol given without consent or knowledge?
Location of incident (check all that apply)
Was the incident (check all that apply):

Resources Utilized

What resources has the survivor accessed at this point? (Check all that apply)
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Linfield College
900 SE Baker Street
McMinnville, Oregon  97128-6894
 
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