LCCTC Student/Staff Sexual Harassment and Sexual Assault Report

LCCTC Student/Staff Sexual Harassment and Sexual Assault Report Form

  • MM slash DD slash YYYY
  • :
  • Please include any information about the incident you would like the University to know. Please remember that providing any specific, identifying information may result in an investigation.
  • If more than one person committed the alleged incident/concern, you can put their relationship with the CTC in parenthesis after their name.
  • What is the relationship of the person alleged to have done the behavior with the CTC?
  • If more than one person experienced the alleged incident/concern, you can put their relationship with the CTC in parentheses after their name.
  • What is the relationship of the person who was affected by the behavior to the CTC?