Sexual Misconduct Report Form

Purpose of Form

This form allows any member of the Juilliard community to report conduct prohibited under Juilliard’s Sexual Misconduct Policy, including sexual harassment, sexual assault, dating violence, domestic violence, stalking, and retaliation, to the Title IX Coordinator.

Reports involving the Tianjin Juilliard School will be shared with the Senior Coordinator of the Sexual Misconduct Policy at the Tianjin Juilliard School.

Other Reporting Options 

You are not required to file this form to make a report or receive assistance. You may also contact Juilliard’s Title IX Coordinator or a Deputy Title IX Coordinator directly. For a complete list of contact information for these individuals, please see Section III of Juilliard’s Sexual Misconduct Policy.

After Submission

Once you click submit, your report will be transmitted directly to Juilliard’s Title IX Coordinator. Upon receipt of this form, the Title IX Coordinator will reach out to you as promptly as possible to discuss all of your rights and options under the Policy and under Federal and State law, including the availability of supportive measures, on- and off-campus resources, and options for how to proceed with the report.

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.

Whatever your decision,the Title IX Coordinator and Deputy Title IX Coordinators are available to provide guidance and support.

Additional Resources

Any individual who is a victim of sexual assault or violence is encouraged to immediately seek medical assistance and may also notify law enforcement. Please refer to Appendix A of Juilliard’s Sexual Misconduct Policy for a list of support services, including campus resources, medical care, mental health care, legal services, and advocates (who can provide support during sexual assault forensic examinations and in meetings with law enforcement).

 

Reporting Party
*This section of the form is optional. If you would like to report anonymously, please leave this section blank and proceed to the next section.
@juilliard.edu
Tianjin Juilliard School
Alleged Incident Information


Please describe the incident(s) in as much detail as you are able. It is helpful to address the following:

  • who was involved and/or present
  • what took place
  • when it occurred, including the date
  • where it occurred, including specifics about location
  • any details about how it occurred
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, photos, videos, etc.) and other documents that you have relating to this incident.
You may upload copies of the files here.
Files must be less than 5 MB.
Allowed file types: jpg jpeg png txt pdf doc docx mov mp3.
Files must be less than 5 MB.
Allowed file types: jpg jpeg png txt pdf doc docx mov mp3.
Files must be less than 5 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.