Please note that this report will immediately be sent to following:

• UMKC Office of Equity & Title IX (ETIX)
• SOM Associate Dean for the Learning Environment
• SOM Assistant Dean for the Learning Environment

Mandatory Reporting

All UMKC employees, including faculty, staff, residents, researchers, and student employees, are mandated reporters and must provide all known information to the Office of Equity & Title IX when an incident involves any form of protected identity discrimination or harassment, sexual misconduct, stalking, dating/domestic/intimate partner abuse, or a failure to accommodate a disability, pregnancy, or religion.  Protected identity discrimination or harassment may be based on race, color, national origin, ancestry, religion, sex, pregnancy, sexual orientation, gender identity, gender expression, age, disability, protected veteran status, and any other status protected by applicable state or federal law.

The only options for anonymous disclosures/reporting are listed here; the employees of these offices are exempt from the mandated reporting policy so long as the disclosure occurs in a confidential communication while they are acting as support advocates, professional counselors, or medical personnel.

For more information, visit the Office of Equity & Title IX.

Click Here to Report Mistreatment

The Office of Equity & Title IX (ETIX)

Outlines university policy and process for reporting. Office of Equity & Title IX will receive SOM mistreatment reports – you only need to report using the SOM Mistreatment Link.  For some incidents, individuals might feel more comfortable reporting directly to the ETIX.

Policies

• Standards of Conduct for Faculty/Learner Relationships
• About the Office of Equity & Title IX
• Rights & Responsibilities
• University of Missouri Guiding Policies

If you would like to discuss this incident with a confidential resource, see contact information below:

• UMKC Counseling Service, 816-235-1635
• Student Health and Wellness, 816-235-6133

Click here for a list of additional support and assistance resources available to students, staff, and faculty.

File a Report

Please select the statement that best applies:

I have been mistreated

I have witnessed an occurrence of mistreatment

I have heard about an occurrence of mistreatment that should be brought to the attention of the administration; however, I acknowledge that, given I am not a party directly associated with the incident, I may not receive feedback regarding it

I am uncertain if I have been mistreated, but I would like to report the incident.

I am a mandatory reporter

Please select the category under which you believe this episode of mistreatment is best classified (choose all that apply):

Publicly embarrassed

Publicly humiliated

Threatened with physical harm

Physically harmed

Required to perform personal services

Subjected to unwanted sexual advances

Been asked to exchange sexual favors for grades or other rewards

Been denied opportunities for training or rewards based on gender

Subjected to offensive sexist remarks/names

Received lower evaluations or grades solely because of gender rather than performace

Been denied opportunities for training or rewards based on race or ethnicity

Subjected to racially or ethnically offensive remarks/names

Received lower evaluations or grades solely because of race or ethnicity rather than performance

Been denied opportunities for training or rewards based on sexual orientation

Subjected to offensive remarks/names related to sexual orientation

Received lower evaluations or grades solely because of sexual orientation rather than performance

Subjected to negative or offensive behavior(s) based on your personal beliefs or personal characteristics other than your gender, race/ethnicity, or sexual orientation

Other

For the next section, please be as specific and explicit as possible. This helps ensure that the incident is handled appropriately. You may skip any questions.

Date the incident occured:

The individual(s) who mistreated me/or the person is/are (choose all that apply):

Pre-clerkship faculty

Clerkship faculty (classroom)

Clerkship faculty (clinical setting)

Resident/Fellow

Health care team member (nurse, nurse practitioner, social worker, respiratory therapist, etc.)

Administrator (department, school, hospital)

Other staff member

Student

Patient

Other

Name(s) of the individual(s) who mistreated you/or the person and others who may have been involved in the incident:

Please identify the setting in which the event occurred (for example, required clerkship, classroom, clinical elective, rounds, advising session, formal presentation, conference, meeting, informal gathering, etc.):

Location of incident:

Please describe the incident and the mistreatment:

If you have supporting documentation you would also like to include with this report, please upload a file(s) here: (100MB size limit)

Anonymous Reporting

If you would like to report this incident anonymously, do not complete the section below. Your name will not be known to anyone; we will not be able to contact you about further details and you will not be able to receive information about how the complaint is handled.

Confidential Reporting

If you would like to report this incident confidentially, please complete the section below. Your concern will be shared only with those who have a need to know in order to investigate it. We will investigate it in a manner that prevents retaliation and we will be able to provide you with information about how the concern was addressed.

Mandatory Reporting

Please note that this report will be sent to the Office of Equity & Title IX, and the SOM Associate Dean for the Learning Environment. All are mandated reporters and are required to inform the Office of Equity & Title IX if the report involves sexual harassment, sexual misconduct, stalking on the basis of sex, intimate partner and/or relationship violence, and sexual exploitation, even if it is reported anonymously.

What is your name?

First

Last

What is your email?

What is your phone number?

 - 

Do you want to be contacted about this incident?

Yes

No

Our priority is to ensure your submitted report receives immediate attention. If you have chosen to identify yourself, you should immediately receive an email acknowledgement of your submission. If you do not, please resubmit. Following verified submission, a member of the Expect Respect committee will contact you unless you have indicated otherwise.

How would you prefer to be contacted?

Email

Phone

Verification:

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