Title IX Discrimination and Harassment Reporting Form | Â鶹´«Ã½Ó³»­

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Title IX Discrimination and Harassment Reporting Form

This form is designed for anyone (students, faculty, staff, visitors and guests, etc.) to report incidents of harassment and discrimination to Â鶹´«Ã½Ó³»­, including but not limited to:

  • Sexual harassment
  • Sexual misconduct
  • Relationship violence
  • Retaliation
  • Stalking
  • Bullying
  • Hazing

Report an Incident:

Do not use this form to report events presenting an immediate threat. If you require emergency assistance, please contact Â鶹´«Ã½Ó³»­ Public Safety at 570-961-7899 or call 911.

Â鶹´«Ã½Ó³»­â€™s Title IX Coordinator (or designee) receives and reviews all complaints and routes them to the appropriate Â鶹´«Ã½Ó³»­ administrator for investigation. Questions and concerns can be directed to TitleIX@Lackawanna.edu

This form can be used by any person making a report on their own behalf who wishes to remain anonymous. It can also be used to anonymously file a report on behalf of another person. Â鶹´«Ã½Ó³»­ will investigate every report to the extent possible. However, it is important to understand that if you choose to file an anonymous report, you may limit Title IX’s ability to remedy the problem. You can review Â鶹´«Ã½Ó³»­â€™s policy and procedures for such reports on the Title IX page.

Â鶹´«Ã½Ó³»­ will make every effort to protect the privacy of all involved, but the information you provide in completing this form is not confidential and may be shared as necessary for Title IX staff to take appropriate action.

Contacts

For on-campus confidential reporting, contact:

Student Wellness Program Staff:

  • Marcus Mitchell, Program Coordinator

On-campus health service: Scranton Primary Healthcare

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Below is a list of on-campus, community-based, and national advocacy services available:

  • WRC (Scranton) – 570-346-4671, 24 hours / 7 days a week
  • Victim’s Resource Center (Hazleton) 1-866-206-9050, 24 hours / 7 days a week
  • Victims’ Intervention Program (LRC) – 570-253-4401, 24 hours / 7 days a week
  • Abuse and Rape Crisis Center (Towanda) – 570-265-5333, 24 hours / 7 days a week
  • Transitions (Sunbury) – 1-800-850-7948, 24 hours / 7 days a week
  • Maternal & Family Health Services Circle of Care – 570-595-4496

Reporting Form