Sexual Assault/Harassment Report Sexual Assault/Harassment Report Sexual Assault/Harassment ReportIf you have experienced sexual violence and you are not sure whether you want to report to Lincoln Christian University, you can call the 24-hour confidential hotline for Prairie Center Against Sexual Assault at 217-753-8081, and they can assist/support you during this process. If you require immediate medical attention, please go to your nearest medical emergency care center. You may use this form to report anonymously by not including your contact information. You are encouraged to review LCU’s Title IX policy so that you can learn more about options for support/assistance, confidential and non-confidential reporting, and what the University's resolution processes involve. If this incident may also constitute a crime, you are encouraged to report it to the police, but you have the right not to do so (unless the person completing this report is required to do so by law). Please complete this form to file an incident report online. Please select below if you wish this report to remain confidential (not reported to LCU administration/Title IX Coordinator). I want this report to remain confidential (meaning that it will not be reported to the LCU administration/the LCU TItle IX coordinator)I want this report to be submitted to the LCU administration/the LCU Title IX coordinator). Person Completing this ReportI wish to remain anonymous.YesNo Responsible LCU employees may not submit anonymous reports of sexual misconduct that were disclosed to them by or involved students.*Responsible LCU employees may not submit anonymous reports of sexual misconduct that were disclosed to them by or involved students.I understand.I am not an LCU employee. What is your relationship to LCU?What is your relationship to LCU?StudentEmployeeParent of StudentOther What is your name?What is your name? What is your email address?What is your email address? What is your phone number?What is your phone number? Incident(s)To the best of your knowledge, when did the incident or incidents occur? Please specifically identify if you are certain of the date(s) and time(s) or if you are providing approximate date(s) and time(s). To the best of your knowledge, where did the incident or incidents occur?To the best of your knowledge, where did the incident or incidents occur? Please describe the incident(s). Be as specific as possible.Please describe the incident(s). Be as specific as possible. How would you characterize the nature of the incident(s)?How would you characterize the nature of the incident(s)?Relationship/Dating ViolenceDomestic ViolenceSexual AssaultSex DiscriminationSexual HarassmentGender-Based Harassment or DiscriminationSexual ExploitationSexual IntimidationStalkingOther Was the incident associated with an LCU event or activity?Was the incident associated with an LCU event or activity?YesNo Complainant (the victim)Are you the person who experienced the misconduct (the victim)?YesNo What is your/the complainant's relationship to LCU?What is your/the complainant's relationship to LCU?StudentEmployeeParent of StudentOther You may have already chosen not to report this to the LCU administration/the LCU Title IX coordinator, and you may have already stated that you wish to remain anonymous. We respect those decisions and will honor them. We would, however, like to ask whether you would like a confidential advisor to contact you who can provide support in helping you to understand your options as well as locate campus or community services you may wish to use? Doing so will not result in the submission of this report to the LCU administration/the LCU Title IX coordinator if you have already stated your desire that it not be. Would you like to be contacted by a confidential advisor?You may have already chosen not to report this to the LCU administration/the LCU Title IX coordinator, and you may have already stated that you wish to remain anonymous. We respect those decisions and will honor them. We would, however, like to ask whether you would like a confidential advisor to contact you who can provide support in helping you to understand your options as well as locate campus or community services you may wish to use? Doing so will not result in the submission of this report to the LCU administration/the LCU Title IX coordinator if you have already stated your desire that it not be. Would you like to be contacted by a confidential advisor?YesNo What is your name?What is your name? What is your email address?What is your email address? What is your phone number?What is your phone number? Please provide information about the complainant or complainants who were involved in the incident or incidents of sexual misconduct. Provide names, physical descriptions (if names are not known), contact information, or any other information that will help identify the complainant or complainants.Please provide information about the complainant or complainants who were involved in the incident or incidents of sexual misconduct. Provide names, physical descriptions (if names are not known), contact information, or any other information that will help identify the complainant or complainants. Respondent (the person(s) accused of engaging in sexual misconduct)Please provide information about the respondent or respondents who were involved in the incident or incidents of sexual misconduct. Provide names, physical descriptions (if names are not known), contact information, or any other information that will help identify the respondent.WitnessesPlease provide information about anyone who may have witnessed the incident or incidents of sexual misconduct. Provide names, physical descriptions (if names are not known) contact information, or any other information that will help identify any witnesses to the incident(s).Desired OutcomeWhat do you hope is the result of your submitting this report?Conclusion*The information provided in this report is complete and true to the best of my knowledge.Yes