SEXUAL MISCONDUCT REPORT FORM

Cayuga Community College is committed to the safety and well-being of all students, faculty and staff. The institution’s goal is providing an optimal environment for learning, exploring and making lasting, positive connections within the campus-community. Fostering this productive atmosphere requires that all members remain vigilant in safeguarding policies, statutes and laws protecting the rights of each member to pursue an educational experience free of harassment and risk of personal harm.

This form serves as a means of supporting victims/survivors experiencing any form of sexual misconduct as well as properly documenting and potentially pursuing offenders deviating from expectations set forth by the college.

Please note that, as a member of the Cayuga Community College community, you have an obligation to uphold the highest standards as a student, faculty and staff member of this institution. As such, your decision to engage in completing this form is a testament to your commitment to these standards and most importantly, in advocating for those who may not possess the immediate capacity to advocate for themselves.

Please complete the following question to the best of your ability. Take care in explaining to the victim/ survivor that this information serves a very important purpose and is legally required through Title IX and mandates set forth through State and Federal governments. However, underscore the following points:

• Collecting this information does not mandate disclosure of the victim/survivor’s identity and every effort to impart this important fact and safeguard confidentiality must be made.
• This form is not a police report and although this information may be supplied to law enforcement at the Title IX officer’s discretion, the victim/survivor alone is the only one who may decide if he or she wishes to pursue criminal charges
• Although this is not a police report, every effort should be made to inform the victim of his or her rights and resources, including reporting the incident to the authorities and emphasizing that a report does not have to include pressing charges.