Iowa Lakes Community College Anonymous Reporting

Iowa Lakes Community College Anonymous Reporting

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This form is intended for use by individuals associated with Iowa Lakes Community College.

Please utilize this form to notify the authorities regarding a sexual assault incident. The individual completing the report may opt to maintain anonymity, furnish contact details for specific circumstances only, or express a preference to speak with an investigator. Reports may be submitted by individuals other than the victim.
Incident Information
Tell us what you are able to about the sexual assault. Providing detailed information can help officials identify sexual predators:
Tell us what you are able to about where the sexual assault occurred:
Tell us what you are able to about the suspect:
If suspect name is unknown, include information about gender, height, weight, race, facial description, hair description and any other information that may aid law enforcement with an identification:
What other information do you want us to know?:
Alcohol was voluntarily consumed by victimAlcohol was voluntarily consumed by suspectVictim does not remember what happened (alcohol intoxication)Victim does not remember what happened (unknown reason)Victim suspects a drug was unknowingly given to themVictim voluntarily consumed illegal drugsSuspect voluntarily consumed illegal drugsVictim met the suspect within 48 hours of the assaultVictim met the suspect in a bar/partyVictim knew the suspect for more than 48 hours prior to the assaultVictim does not know the suspectAssault occurred in a college dormitoryAssault occurred on Iowa Lakes campusVictim is an Iowa Lakes college studentSuspect is an Iowa Lakes college studentSuspect used verbal threat of physical injurySuspect threatened victim with a weapon (not seen)Suspect threatened victim with a weapon (seen)Suspect used verbal threat (not threat of physical injury)Suspect acted with other person(s) to carry out the assaultVictim is a femaleVictim is a maleSuspect is a femaleSuspect is a maleVictim met the suspect onlineSuspect has other victimsVictim sought medical care but not a forensic examVictim had a forensic exam doneVictim plans to have a forensic exam doneThere are witnesses to the assaultThere are witnesses to suspect's contact with victim prior to the assaultI am the victim of the sexual assault being reportedI am a friend/relative of the victim of the sexual assault being reportedThe suspect is a family member or lived with the victim's family
Advocate Information: Please answer the following to assist the Victim Advocates to better serve you and other victims.
What is keeping you from reporting to Law Enforcement?:
What types of trauma or reactions have you experienced since this assault?:
DepressionWithdrawal from friends and familyAnxietyAngerConfusion
Victim Advocates work closely with law enforcement to provide mental and emotional support to victims of sexual assault. Advocates are also available to help address safety concerns that victim’s may have, such as safety planning, restraining orders, and Victim’s Compensation, if applicable. Contact with Victim Advocates is free and confidential.
YesNo
Reporter Information
I want to speak with an investigator about my reportI am including my contact information but only want to be contacted if it is believed my information could assist in another investigationI do not want to be contacted by law enforcement
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Nondiscrimination Statement
It is the policy of Iowa Lakes Community College not to discriminate in its programs, activities, or employment on the basis of race, color, national origin, sex, disability, age, sexual orientation, gender identity, creed, religion, and actual or potential family, parental or marital status. If you have questions or complaints related to compliance with this policy, please contact a title IX coordinator for Iowa Lakes Community College, Administration Building, 19 South Seventh Street, Estherville, IA 51334, telephone: 712-362-0430, equity@iowalakes.edu or the Director of the Office for Civil Rights U.S. Department of Education, John C. Kluczynski Federal Building, 230 S. Dearborn Street, 37th Floor, Chicago, IL 60604-7204, Telephone: (312) 730-1560 FAX: (312) 730-1576, TDD 800-877-8339 Email: OCR.Chicago@ed.gov.
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Iowa Lakes Community College Anonymous Reporting

Incident Information

Advocate Information: Please answer the following to assist the Victim Advocates to better serve you and other victims.

Reporter Information