Report Sexual Violence

Report Sexual Violence
NOTE: This form may be used by a member of the St. Olaf College community who has either experienced or witnessed sexual assault or another form of sexual misconduct.

The questions provided in this form are optional. All information provided will be forwarded to the Title IX Coordinator. The information will be used to track reports of sexual violence for reporting purposes to state and federal authorities. This information will also be used by the college to better understand the incidence of sexual violence in our community, and to aid St. Olaf in its education, prevention, and response efforts. Providing information on this form will neither result in an investigation nor initiate St. Olaf’s complaint process.

Individuals who have experienced sexual assault or another form of sexual misconduct are encouraged to report to a member of the Title IX Team. If the identity of this individual is provided below, the college will follow up directly to offer support services and interim measures and will discuss the option of initiating a complaint under the college’s complaint process. Reporting this information to a member of the Title IX Team does not mean that a complaint must be pursued.

* Required
I have read the above information about this on-line anonymous reporting form. I understand that by providing this information I am not initiating a complaint under St. Olaf’s complaint process. I also understand that if I choose to remain anonymous, this may limit the ability of St. Olaf College to respond to the incident I am reporting to the College. *
Required
Identity of the person filling out this form
Please put name, phone number, and email (leave blank if reporting anonymously)
Your answer
Identity of the individual who experienced the sexual assault or other form of sexual misconduct
Please put name, phone number, and email if known (leave blank if reporting anonymously)
Your answer
Date(s) and time(s) of incident(s) (if unknown, provide information about approximate timeframes)
Your answer
Location of incident(s) of assault/incident (check all that apply)
Please provide any other information regarding the location of the incident(s)
Your answer
Nature of the incident (check all that apply)
Please describe whatever other information you are willing to provide regarding the incident(s)
Your answer
Identity of the individual who committed the sexual assault or other form of sexual misconduct
Please put name, phone number, and email if known
Your answer
Affiliation of the person who committed the sexual assault/misconduct with the individual who experienced sexual assault/misconduct (check all that apply)
Was this incident reported to the Northfield Police or some other law enforcement agency
Have you notified anyone else about this incident?
Check all that apply:
Are there any additional details concerning the incident that you believe we should know:
Your answer
If you are a survivor of sexual violence we urge you to seek out assistance from one of the resources available at St. Olaf and the wider community. The following are confidential resources available to assist victims of sexual violence:
• St. Olaf Sexual Assault Resource Network (SARN): 507-786-3777
• St. Olaf Counseling Center: 507-786-3062
• St. Olaf Ministry: 507-786-3092
• St. Olaf Health Service: 507-786-3064
• National Sexual Assault Hotline: 800-656-4673
• Faribault HOPE Center: 800-607-2330
In addition to these confidential resources, the following are resources on campus available to assist victims of sexual violence:
• Kari Hohn, St. Olaf Title IX Coordinator: 507-786-3465
• St. Olaf Dean of Students Office: 507-786-3615
• Other members of the Title IX team (see menu at left)
• Northfield Law Enforcement: 911, 507-645-4475 (non-emergency)
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