Title IX Reporting Form
Email me a copy of this report.
Check the appropriate box.
This incident happened to me.
I witnessed this incident.
This incident was reported to me.
I am a
Date of Incident:
Time of Incident:
Location of Incident:
If this is an emergency, please contact Campus Police at 570-662-4900.
The Title IX Coordinator may be reached at 570-662-4342 or 570-662-4345.