TNIS Sexual Misconduct and Equal Opportunity Report Form

This form is available to TNIS students, faculty, and staff to provide information about interpersonal misconduct that may not have been reported to police or campus authorities. This form can be used to report about sexual assault, harassment, domestic violence, dating violence, stalking, and discrimination of any kind.

I am *

the person who is directly impacted

a friend, family member, or partner

the assailant, perpetrator

faculty, staff

other

The name of the person/people impacted

This is required if you are an employee of True North International School and are reporting about someone other than yourself.

The person/people directly impacted

under 18 years old

a TNIS student

a TNIS staff member

a TNIS faculty member

not affiliated with TNIS

The name of the accused

This is not required but if you would like to leave a name we will keep it on file. If you are an employee of True North School reporting about someone other than yourself you must enter what you know.

The accused is

there were more than one assailants/accused

under 18 years old

a TNIS student

a TNIS staff member

a TNIS teacher

not affiliated with TNIS

a family member

dating, relationship, spouse

the relationship between the assailant and the victim is unknown

a stranger (did not know the victim)

Incident

Please describe the incident to the best of your ability. If you can, provide the date, location, and number of occurrences.

Where did the incident occur

on campus

Fora Building

Jungle Building

Ocean Building

Space Building

Soccer Field

Aquatics

off campus

at someone's home

victim/survivor's home

accused's home

on a public street

in a public park

Online/social media/texting

Other

The incident is best described as

sexual assault (sexual contact without consent)

sexual harassment (unwanted sexual behavior, name calling, teasing, etc.)

stalking (unwanted following, calling, contacting by a person who has been told to stop)

intimate violence (physical, emotional, financial, and/or sexual violence, etc. within a dating or domestic relationship)

public indecency (exposing one's genitals, flashing, mooning, etc.)

acquaintance rape (unwanted intercourse or penetration into an orifice by a person you know)

stranger rape (unwanted intercourse or penetration into an orifice by a person you don't know)

gender based violence/discrimination

racism

ageism

ableism (ability discrimination)

heterosexism

misgendering

Other

Type of force used by the assailant/perpetrator(s) was

verbal pressure

threat of physical harm

intimidation and coercion

threat of emotional harm

use of physical force

abuse of position of authority

abuse of state of consciousness of the victim (the victim was not coherent, unable to consent)

force was not a part of this incident

Please describe the involvement of drugs and/or alcohol

no drugs or alcohol were involved

accused was under the influence

unknown if the accused was under the influence

the person directly impacted was under the influence

the person directly impacted took the drugs/alcohol voluntarily

unknown of the the person directly impacted was under the influence

The person directly impacted has

sought medical attention

contacted a counseling agency

reported the incident to the police

reported the incident to campus authorities

told friends or family about the incident

Other

Is there something else you would like to add?

Supporting Documentation

Photos, video, email, and other supporting documents may be attached below.

Supporting Documentation

If you are filling this report out about someone else, do they know you have filed the report?

Yes

Contact options

You do not have to provide any contact information. If you choose to do so, this form is no longer anonymous. However, your contact information is kept strictly confidential. If you are a faculty or staff member making this report about someone other than yourself- you must leave your name to fulfill those obligations.

I would like to be contacted about my report

I am providing my contact information and only wish to be contacted if it would further assist in any other investigations

I do not want to be contacted