Complaint Intake Form
The Sexual Misconduct Response Policy governs the conduct of all the members of FIT’s community, such as employees and students, and non-members of FIT’s community, such as contractors, vendors, and visitors. Non-members of FIT’s community are both protected by and subject to this policy.

A non-member may make a complaint or report of a violation of this policy committed by a member of FIT’s community. A non-member may also be permanently barred from FIT or 3 subject to other restrictions for failing to comply with this policy. This policy applies to conduct that occurs on and off FIT’s campus.

Please note, you have the right to make a report to public safety, local law enforcement, and/or state police or choose not to report; to report the incident to FIT; to be protected by the institution from retaliation for reporting an incident; and to receive assistance and resources from FIT.

This form will be accepted as a Formal Complaint pursuant to Title IX Grievance Policy, in addition to cases reviewed under the Sexual Misconduct Response Policy. Upon completion of this form, the Title IX office will reach out to you via email.
Email *
Reporting Individual Name *
First Name
Reporting Individual Last Name *
Last Name
Reporting Individual Status *
Required
Date of Incident *
If unknown, you can put an approximate date
MM
/
DD
/
YYYY
Date College Became Aware of Concern
If you notified another Responsible Employee at the College of this incident you may add this date here. If this is your first time notifying the college, leave blank.
MM
/
DD
/
YYYY
Name of Accused *
If unknown, write N/A
Accused's Status *
Required
Location of Incident *
If unknown, write N/A
Have criminal charges been filed with police authorities? *
Description of Incident *
You may include witness information here
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