Complaint Form

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Reporting Party [person making the complaint]

Is reporting party the student, employee, or third-party who is reported to have experienced sexual misconduct as defined by this policy?
Status
Request to remain anonymous

Basis of Complaint

Check all that apply. Basis should be discrimination or harassment based on protected category or a complaint related to a form of Sexual Misconduct.
Basis of complaint

Reported to Police

Reported to police
If Yes, which police department?

Respondent [person alleged to have violated the Policy]

Respondent status

Details of Complaint

Describe each incident of harassment, discrimination, sexual misconduct, or retaliation separately. Please be as detailed as possible, giving names, dates and places, include phone numbers and addresses if possible. Use additional pages if needed

Witnesses

List those witnesses you believe have information about your complaint. Include complete information for each witness listed. If the Reporting Party is not the alleged complainant, please identify the alleged complainant as a witness below. Add additional pages if necessary.

Witness #1

Witness #1's Status

Witness #2

Witness #2's Status

Witness #3

Witness #3's Status

Supporting Materials/Documents

List and produce any written materials or other documents you believe may help in investigating your complaint. Please include social media or text communications if available. Items may be physically provided or electronically provided.
Unlimited number of files can be uploaded to this field.
5 MB limit.
Allowed types: pdf doc docx.

Additional Information

Have you previously reported or otherwise complained about this or related acts of harassment, discrimination or retaliation to a College supervisor or official? If so, please identify the individual to whom you made the report, the date you made the report and the resolution.

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Equal Opportunity and Title IX Compliance Non-discrimination and Harassment Title IX

Contact Us

Contact us

EQUAL OPPORTUNITY AND TITLE IX COMPLIANCE

Location: Building B, Suite 3700
Phone: 678.407.5085
Email: TitleIX@ggc.edu

Address
Equal Opportunity and Title IX Compliance, B-3700
Georgia Gwinnett College
1000 University Center Lane
Lawrenceville, GA 30043

TITLE IX INQUIRIES OR COMPLAINTS

Sharon Stellato, J.D.
Interim Title IX Coordinator
Equal Opportunity and Title IX Compliance
Email: TitleIX@ggc.edu

Office for Civil Rights
Atlanta Office
U.S. Department of Education
61 Forsyth Street S.W., Suite 19T10
Atlanta, GA 30303-8927
Phone: 404.974.9406 
Fax: 404.974.9471
Email: OCR.Atlanta@ed.gov

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Equal Opportunity and Title IX Compliance