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HARASSMENT, DISCRIMINATION (INCLUDING SEXUAL MISCONDUCT) AND RETALIATION COMPLAINT FORM – EXTERNAL

Please review Central Wyoming College’s Sexual Misconduct Policy in the CWC Student Handbook. Current CWC students should use this complaint form and CWC staff should use this form.

The form below is designed to provide the community with an online method to report specific information related to an alleged incident(s) of discrimination, harassment (including sexual misconduct), or retaliation at CWC.

You are not required to complete the entire form in order for the complaint to be submitted.

Central Wyoming College will use the information provided to begin an investigation, which may include contacting the complainant, respondent, and/or any potential witnesses.

However, if the report does not contain specific information, the Institution’s investigation and response may be limited.


COMPLAINANT INFORMATION

If you wish to identify yourself, please fill in the information listed below:

*If the person completing this form is the victim, you may choose to identify yourself or not. If you are a third party complainant who is not the victim, include the victim’s identifiable information only if the victim wishes.

*Victims completing this form who provide personally identifiable information can expect the institution to follow-up with an appropriate investigation.

*For information-only reports, victims should omit all personally identifiable information to ensure confidentiality.


Type and Basis of Complaint:

Respondent/Accused Information:
Please identify the person against whom your complaint is made.

*If the person completing this form is the victim, you may choose to identify yourself or not. If you are a third party complainant who is not the victim, include the victim’s identifiable information only if the victim wishes.

*Victims completing this form who provide personally identifiable information can expect the institution to follow-up with an appropriate investigation.

*For information-only reports, victims should omit all personally identifiable information to ensure confidentiality.


Complaint:
While providing details is essential to investigating your complaint, please be advised that some or all of the information you provide in this section may be shared with the person(s) you are accusing.

You may supplement this description later if you wish to share additional details.


Resolution

By submitting this form, I certify that the information I have provided is true and accurate to the best of my knowledge.