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Title IX and Other Types of Discrimination Report Form


In case of emergency (immediate risk of self-harm/harm to others or a crime), call College of the Mainland Police Department (COM Police).
From COM phone: dial 599
From outside or cell phone: (409) 933-8599

Off Campus Locations

In the event of emergency, off campus sites should call 9-1-1 first to request Police/Fire/EMS services, and then call COM Police at 599 or (409) 933-8599.

This form is used by employees, students, and third-parties to report incidents of discrimination, harassment, and retaliation, including: sexual harassment, sexual assault, sexual misconduct, interpersonal violence, dating and domestic violence, stalking, sex-based discrimination, discrimination on the basis of gender identity, gender expression, and sexual orientation, pregnancy discrimination, sex trafficking, human trafficking, sexual exploitation, discrimination based on race, color, age (40 years or older), religion, national origin, disability, Veteran status or retaliation for reporting a concern, filing a complaint, or cooperating with a Title IX or EEO investigation of a complaint.

If your report is not related to discrimination, harassment, or retaliation, but are experiencing concerns in your work or educational environment:

Employees, please contact Human Resources at 409-933-8269 hr@com.edu
Students, please visit https://www.com.edu/dean-of-students/student-information.html

All COM employees are Mandatory Reporters. Senate Bill 212 (SB 212), requires all employees (both faculty and staff) at a public or private post-secondary institution to promptly report any knowledge of any incidents of sexual assault, sexual harassment, dating violence, or stalking committed by or against a person who was a student enrolled at or an employee of the institution at the time of the incident. Any employee who becomes aware of such behaviors should utilize this form to notify the Title IX Coordinator. For more information click here. Senate Bill 212  

COM policy prohibits retaliation against a student, employee or any other person affiliated with the College for reporting a concern, filing a complaint, or cooperating in an investigation of a complaint.

A report can be made anonymously, without sharing your name. Depending on the information provided, the College’s ability to respond to and investigate the report may be limited.

 

Did You Know?

·    Title IX prohibits sex discrimination in education programs that receive federal funding?

·    Sexual harassment including sexual assault, is a type of sex discrimination that’s banned by Title IX?

·    Sexual assault is a physical act done against a person’s will?

·    1 in 5 women are victims of completed or attempted sexual assault while in college?

·    Schools are required to adopt and publish grievance procedures for students who complain of sex discrimination, including sexual assault?

 

Submitting this report notifies the following College entities of the incident:

Director of Equal Opportunity and Title IX, Teclesha Blanchard

Please contact the Office of Equal Opportunity and Title IX at TitleIX@com.edu or by phone at 409-933-8529 if you have any questions.

Additional Information can be located on our website at  https://www.com.edu/titleix/ .

Information Regarding the Reporting Party

Please complete this form as thoroughly as possible, providing as much information as you have access to or knowledge of.

 
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(If reporting anonymously, put Anonymous here)
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Specific Area on or off Campus
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Individuals Involved

Please provide the following information about yourself, the individual(s) whom you are filing this complaint against, and anyone who may have knowledge of your concerns. If you are an employee making a mandatory report regarding another employee or student, please provide as much information known about the individuals involved. You may leave fields blank if you do not have all of the information.

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Questions Concerning the Incident

Type of Allegation (check all that apply):(Required)
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Were the Police or EMS called?(Required)
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Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. 1 GB maximum total size. Attachments require time to upload, so please be patient after submitting this form. 5GB maximum total size. Attachments require time to upload, so please be patient after submitting this form. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission