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Sexual Misconduct, Discrimination, Harassment, Relationship Violence, and Stalking

If this is an immediate concern for safety, please call Campus Safety (727-864-8260), and if necessary 911.

This form is designed to provide students, employees, faculty, vendors, visitors, or others with an on-line method to report specific information related to an alleged incident(s) of sexual misconduct, discrimination, harassment, relationship violence, and stalking. This form may be used to file a report for yourself or on the behalf of another person.

The College will use the information provided to begin an internal investigation, which may include contacting the reporter, victim, respondent, and/or any potential witnesses. However, if the report does not contain specific information, the College's investigation and response may be limited.

For more information regarding the Student Sexual Misconduct, Harassment, Relationship Violence, and Stalking policies, please view the EC-Book or Eckerd College's Title IX Website.

For more information regarding Faculty and Staff Policies and Procedures please visit

Additional resources for support and counseling are also available:
Non-Confidential Resources
Outreach Services: 727-864-8407, 727-864-8904
Human Resources (for faculty and staff): 727-864-8316

Confidential Resources
Office for Advocacy and Gender Justice: 727-864-8405
Counseling Center: 727-864-8248
Center for Spiritual Life: 727-864-7522
Employee Assistance Program (for faculty and staff): 1-800-531-0200

Background Information

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

This section is to identify the person completing the form. You may choose to complete this form anonymously. While we will review all reports we receive, please note that submitting this report anonymously may impact the College's ability to fully investigate and respond to the complaint.

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Involved Parties

This section is used to identify the parties involved in the incident. For example: name of the victim(s), name of the accused, and name of any potential witnesses or third parties involved. As in the section above, please know that not providing the names of the involved parties may limit the College's ability to fully investigate and respond to this complaint.


Please provide as much information as you can. If there are questions you cannot answer or information you are uncomfortable sharing in this format, simply state that in the appropriate field.

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Supporting Documentation

Please add any additional documents that support your complaint. 1GB maximum total size.
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