Sexual Misconduct Incident Report Form

Instructions

The Sexual Misconduct Incident Report Form can be filled out by a student, staff, faculty, community member, parent, or anyone with information to report about an act of sexual misconduct involving a WCU employee or student. Sexual misconduct includes sexual harassment, sexual assault, sexual exploitation, and stalking.

This form can be used to file a formal, informal, or anonymous report. Those who have been identified as Campus Security Authorities (CSAs) should complete both the CSA form and the Sexual Misconduct Report Form. CSAs should start by completing a Clery Act Report found here: www.wcupa.edu/csa. You will then be prompted to complete a Sexual Misconduct Report Form in another window, once the CSA form is complete. Please make sure you complete both forms as a CSA. If you have any questions about Campus Security Authorities (CSAs) or the Clery Act Report, please contact Mike Bicking, Chief of the Office of Public Safety at 610-436-3478.

The information that you include in the following report will be shared with the following offices. If you would prefer to speak with someone in person or by phone, you may contact the office directly at the telephone numbers or addresses below. If you indicate on the form that you want to be contacted by one or more of these offices on the form, a representative from that office(s) will contact you at the telephone number or email address that you provide.

  • To file a police Report: Those who want to press criminal charges against a perpetrator(s) should contact the Department of Public Safety (610-436-3311), dial 911, or contact the police in the area where the assault took place. Filing a report with the police is necessary when a victim would like to pursue a criminal investigation by the police and courts.
  • To file a WCU Judicial Report: Sexual misconduct is a violation of the Student Code of Conduct, and therefore a victim may make a judicial complaint against a WCU student(s). A judicial investigation and hearing is separate from a criminal investigation by the police and courts. Contact Christina Brenner, 610-436-3511, cbrenner@wcupa.edu, Office of Judicial Affairs and Student Assistance, Sykes Student Union, Room 238.
  • To file a complaint for Title IX violation: Sexual harassment, which includes acts of sexual violence, is a form of sex discrimination prohibited by Title IX of the Education Amendments of 1972. A victim of any form of sex discrimination, sexual violence, or gender-based harassment may file a complaint with the WCU Title IX coordinator: Lynn Klingensmith, 610-436-2433, lklingensmith@wcupa.edu, Office of Social Equity, 13/15 University Avenue.

If you have questions about your reporting options, go to www.wcupa.edu/sexualmisconduct or contact Lynn Klingensmith, 610-436-2433, lklingensmith@wcupa.edu, Office of Social Equity, 13-15 University Avenue.

West Chester University prohibits retaliation against any person for using this reporting procedure and/or filing a complaint with Public Safety, Judicial Affairs, and/or the Office of Social Equity. Any retaliatory behavior should be reported immediately to any office listed above.

Instructions:

  • Fill out as much information on the form as you can. Leave blank any information that is unknown.
  • Submit this form electronically at www.wcupa.edu/sexualmisconduct. Or, paper copies of the form can be submitted via campus or postal mail to: Lynn Klingensmith, Title IX Coordinator, Office of Social Equity, 13/15 University Avenue, West Chester University, West Chester, PA 19383.