George Mason University
George Mason University Mason
George Mason University

Intake Form

This form provides some basic information to Compliance, Diversity and Ethics (CDE) regarding alleged incidents of discrimination, ethics violations, or Title IX misconduct at George Mason University.  Please fill out requested information and click submit.  Information provided will be treated in the strictest confidence possible.

If you wish to remain anonymous, please enter 'N/A' in the 'Name' field below.
Please provide your address including apartment or unit number.
Please select your status.

Basis of Complaint and/or Alleged Discrimination

Regarding sexual misconduct under Title IX of the Education Amendments of 1972 (definitions), please select the category of your alleged complaint. 

Regarding discrimination under Title VII of the Civil Rights Act of 1964 (definitions), please select the category of your alleged complaint.  Hold the CTRL (or CMD) key to select multiple.

Complaint

Please provide details regarding your complaint.

Please provide the name(s) of the person(s) you are reporting.
Please provide the title or academic status of the respondent.
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