Title IX Reporting

Kentucky Christian University offers resources and support to all community members experiencing concerns of sexual misconduct; stalking; and/or dating and domestic violence. We encourage you to make us aware of these concerns so that we can offer support and resources to you and/or those involved. This form can be used by any member of the Kentucky Christian community (or non-community member) to report a concern of sexual misconduct, stalking, or dating or domestic violence in which anyone involved is a member of the Kentucky Christian community. If this is an emergency, please call 911.

Reporter and Incident Information
Please use this section to provide us with your contact information and the date/location of the incident(s).
Name
First Last
Phone
Email
Your 网赌最好最大平台 Connection*
Date of Incident*
Month
Day
Year
Time of Incident
Location of Incident*
Specific Location
Involved Parties
Name or Organization
Gender
Select Role*
网赌最好最大平台 ID
Date of Birth
MM slash DD slash YYYY
Phone
Email
- Add Another
Name or Organization
Gender
Select Role*
网赌最好最大平台 ID
Date of Birth
MM slash DD slash YYYY
Phone
Email
- Add Another
Name or Organization
Gender
Select Role*
网赌最好最大平台 ID
Date of Birth
MM slash DD slash YYYY
Phone
Email
- Add Another
Name or Organization
Gender
Select Role*
网赌最好最大平台 ID
Date of Birth
MM slash DD slash YYYY
Phone
Email
- Add Another
Name or Organization
Gender
Select Role*
网赌最好最大平台 ID
Date of Birth
MM slash DD slash YYYY
Phone
Email
Description of the Concern
Please provide information for all people and/or organizations that are involved in this situation, including yourself.
Please describe what has occurred.*
Providing additional information on why you are submitting this report will allow us to respond most appropriately (for example: I want the University to know. I am looking for resources or support. I am concerned for the student. I would like the person held accountable.)
Related Documentation
Please upload any documents or photos that might help us better understand your concern. 200MB maximum file size.
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Max. file size: 2 GB.

Lasting Impact

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Heather Stacy, Class of 2010

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