TITLE IX DISCRIMINATION COMPLAINT FORM
Do not use this form to report events presenting an immediate threat. If you require emergency assistance, please contact Public Safety at 252-398-1234 or call 911. This form is designed to provide Chowan University students, faculty, staff, and visitors with a method to report specific information related to an alleged incident(s) of sex discrimination, sexual harassment, gender-based harassment, sexual violence (assault), sexual exploitation, relationship violence or sex/gender-based stalking. Please complete this form to the best of your ability. If you are unable for any reason to complete this form and would like to make a verbal complaint, please call the Title IX Coordinator. Upon receiving a call, the Title IX Coordinator will be in touch. The Title IX Coordinator will honor requests for confidentiality to the extent possible, consistent with the University’s obligation to provide a safe and nondiscriminatory environment for all. Please contact the Title IX Coordinator if you have any questions regarding the process for the filing or investigation of complaints and/or visit the University’s Title IX page at https://www.chowan.edu/campus-life/public-safety/title-ix.
Dr. Brenda Tinkham
Title IX Coordinator
Marks Hall 212 B