HR Galveston College Title IX Incident Report

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Galveston College Incident Report

Reporter's Information

Last Name:

First Name:

Role at Galveston College:

Phone Number:

Work Phone Number:

Whitecaps or GC Email:

Personal Email:

Incident

Type of Primary Complaint:

Date of Incident:

Time of Incident:

Location of Incident:

People Involved in the Incident

List all the individuals involved and include as much information as possible, including whether those persons are GC students or not.

Complainant - Person(s) that had the incident happen to them, or witnessed and incident they would like to report
Respondent - Person(s) or student organization who allegedly is responsible for causing the incident.
Witness - Person(s) who witnessed or has some direct knowledge of the incident.

Complainant Information:

Include full name, role at GC,

phone number, department or

organization, etc.

Give as much information as possible.

Repsondant Information:

Include full name, role at GC,

phone number, department or

organization, etc.

Give as much information as possible.

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