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Office of Compliance, Equal Opportunity and Affirmative Action (EOAA)


Gender & Sex Discrimination/Sexual Harassment/Sexual Misconduct


INTERNAL COMPLAINT FORM REGARDING POLICY 5-16.2


COMPLETING THIS FORM INITIATES A FORMAL INVESTIGATION BY THE UNIVERSITY

In the event the accused is a student, this form will be provided to the Office of Student Conduct and serve as a complain initiating the student conduct process. A student conduct hearing will be scheduled and you will be contacted using the contact information provided below.

Visit http://www.kent.edu/studentconduct/student-conduct-process for more information on the student conduct process.
Policy 5-16.2 outlines the investigation process


(Person filing this complaint of discrimination)











(person or department that committed alleged discriminatory harm or act)

(phone, email address, etc.)








NOTE:

The University will keep all information pertaining to the investigation as confidential as possible. After filing a formal complaint with the university, the complainant’s name and any written statements submitted may be disclosed to the accused. Relevant information disclosed during the investigative process may be shared with the accused (and the student conduct hearing panel or as part of an investigative summary, when applicable) in order to properly investigate and adjudicate the complaint.



I have read and understand this document. I affirm my responses in this complaint are accurate to the best of my knowledge and this complaint has been made in good faith.