Sexual Misconduct Report Form

Purpose of Form

This form allows any member of the Juilliard community to report any alleged sexual misconduct violations, including sexual harassment, sexual assault, intimate partner violence, stalking, and retaliation.

Important Information

Any student or employee who is a victim of sexual assault or violence is encouraged to immediately seek medical assistance and to consider notifying law enforcement. For a comprehensive list of support services, please see Appendix A of Juilliard’s Sexual Misconduct Policy.

While the School finds a written report to be helpful in an investigation, you are not required to file this form in order to initiate a complaint or receive assistance. You can also reach out to Camille Pajor, Juilliard’s Title IX Coordinator, or a Deputy Title IX Coordinator directly via phone, email, or in-person. For a complete list of the Coordinators’ contact information, please see Section III of Juilliard’s Sexual Misconduct Policy.

After Submission

Once you click send, your submission will be transmitted directly and confidentially to Juilliard’s Title IX Coordinator. Upon receipt of this form, the Title IX Coordinator will reach out to you as soon as possible to discuss all of your rights and options under the Policy and under Federal and State law.

Anonymous Reporting

Any member of the Juilliard community has the right to make an anonymous report. It is important to note that depending on the level of information available about the incident or the individuals involved, anonymous reporting may reduce the School’s ability to respond or pursue appropriate action. The School’s response may be limited if information contained in the report cannot be verified by independent facts. Moreover, the School will generally not be able to take disciplinary action disciplinary action against an individual based solely on an anonymous report.

If you feel strongly about anonymity, the Coordinator can put the person “on notice” and attempt to stop the behavior through an educational process permitted by the law and Juilliard’s Sexual Misconduct Policy.

Whatever your decision, the Coordinator or any other Juilliard officials designated in the Policy are available to assist you and provide guidance and support.
 

Reporting Party
*This section of the form is optional. If you would like to report anonymous, please leave this section blank and proceed to the next section. As described above, please note that the School’s procedural options are limited when an anonymous report is received.
@juilliard.edu
Alleged Incident Information
Please describe the accused party’s status (e.g. student, faculty, staff, other).
Please describe the incident(s) in as much detail as you are able. It is helpful to address the questions: who, what, when (e.g. date(s)), where (e.g. location(s)), and how. You may use the back of this form or attach additional pages, if necessary.
Potential Witnesses
Please describe the witness’ status (e.g. student, faculty, staff, other) and your relationship to the witness (e.g. friend, acquaintance) to the best of your ability.
Please describe the witness’ status (e.g. student, faculty, staff, other) and your relationship to the witness (e.g. friend, acquaintance) to the best of your ability.
Please describe the witness’ status (e.g. student, faculty, staff, other) and your relationship to the witness (e.g. friend, acquaintance) to the best of your ability.
Please describe the witness’ status (e.g. student, faculty, staff, other) and your relationship to the witness (e.g. friend, acquaintance) to the best of your ability.
Please describe the witness’ status (e.g. student, faculty, staff, other) and your relationship to the witness (e.g. friend, acquaintance) to the best of your ability.
Additional Information
If applicable, please describe any electronic communications (e.g. texts, emails, social media messages, etc.) that you have relating to this incident.
You may upload copies of the communications here.
Files must be less than 10 MB.
Allowed file types: jpg jpeg png txt pdf doc docx mov mp3.
Files must be less than 10 MB.
Allowed file types: jpg jpeg png txt pdf doc docx mov mp3.
Files must be less than 10 MB.
Allowed file types: jpg jpeg png txt pdf doc docx mov mp3.
If you have previously reported this incident(s) to the School or local law enforcement, please indicate to whom and when reported.