Benedict College has a strong commitment to maintaining a work and academic environment free from sexual and gender-based harassment, including sexual misconduct, for all community members (faculty, staff, and students). This form provides preliminary information to the Title IX Officer to assist in resolving sexual misconduct violations at Benedict College. Please complete this form to the best of your knowledge.

Upon receipt of this form, someone from the Title IX Office may contact you if additional information is needed.

Regardless of the nature of your report, Benedict will ensure that your information is forwarded to the office with responsibility for investigating and addressing complaints, reports, or concerns as appropriate, based on the information you have provided.

The information you provide will be kept confidential to the extent permitted by law.

If you have questions, please contact our office at (803) 705-4838.

This Reporting Form is NOT a 911 or Emergency Service. Do not use this site to report events presenting an immediate threat to life or property. If you require emergency assistance, please contact the Benedict College Police Department at (803) 253-5400.

Submission Date:

REPORTER INFORMATION                                                                                                  

Your Full Name:

Your Affiliation to Benedict:

Your Phone Number:

Your Email Address:

Your Mailing Address:

Nature of this Report (Required):

The accused person is (Required):

Date of Incident (Required):

Time of Incident:

Location of Incident:

INVOLVED PARTIES                                                                                                            

Please provide the following information about the individual(s) you believe discriminated against you, harassed you, or retaliated against you. This would include incidents of sexual harassment, sexual violence, relationship violence and stalking.  If you are completing this as a Mandated Employee, please indicate all involved parties that were shared with you and their respective roles. Please indicate all involved parties. If you do not have all of the information, you may leave fields blank.

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QUESTIONS                                                                                                                           

Are you reporting this information for yourself or another person?

What is the nature of this report? (Please select all that apply.):

Please provide a detailed description of the incident/concern using concise, objective language (Who, what, where, when, why, and how). For "illness and injury" reports, please list the part of your body where you were injured.(Required)

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