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Harassment, Discrimination and Retaliation Reporting Form

If the matter being reported is an immediate health or safety concern, please call 9-1-1.

FSW Board of Trustees Policy 2.03 Discrimination and Harassment policy states:

Florida SouthWestern State College is committed to maintaining an educational and work environment in which no member of the College community is excluded from participation in, denied the benefits of, or subjected to discrimination or harassment in any College program or activity on the basis on race, sex, gender, age, color, religion, national origin, ethnicity, disability, pregnancy, sexual orientation, marital status, genetic information or veteran's status. Gender-based and sexual harassment, including sexual violence, are forms of sex discrimination which in the educational environment may deny or limit an individual’s ability to participate in or benefit from College programs or activities.

Florida SouthWestern State college in compliance with Title VII of the Civil Rights Act of 1964, the American with Disabilities Act, Section 504 of the Rehabilitation Act, the Florida Civil Rights Act of 1992, Title IX of the Education Amendments of 1972, and relevant sections of the Violence Against Women Reauthorization Act opposes any act of discrimination or harassment and prohibits such action.
Reports of Unlawful Harassment, Discrimination and Retaliation are handled under College Operating Procedure 05-0107.

Reports can be submitted using this online form. If a reporting party does not enter their name, the report remains anonymous. Please keep in mind that it may be difficult for the College to fully investigate and respond to anonymous complaints. The Title IX Coordinator/Equity Officer will respond to complaints submitted online in accordance with College Operating Procedure 05-0107.

Background Information

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FSW Affiliation(Required):

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Urgency of this report(Required):

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Date of incident(Required):

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If more than one incident use the most recent date

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Involved Parties

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Supporting Documentation

Photos, emails, and other supporting documents may be attached below. *Please be aware of Florida is a two-party consent law regarding video recording prior to submitting video evidence in this report. 5GB maximum total size.
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