Report Form

Any Kalamazoo College student, faculty, or staff member.

You may use this Reporting Form or you may submit a written report to, or give verbal notice to, the Title IX Coordinator or any Deputy Title IX Coordinator. Such a report may be made at any time (including non-business hours) by using the telephone number, email address, or mailing address listed for the Title IX Coordinator below.

Tanya Jachimiak
Director, Office of Gender Equity and Access
Title IX Coordinator
1200 Academy Street 
Kalamazoo, MI 49006 
Location: Upjohn Library Commons, Office 217 
Phone: 269.337.7480
Email: Tanya.Jachimiak@kzoo.edu

To report sex discrimination, sex-based harassment, dating violence, domestic violence, sexual assault, sexual exploitation, and stalking under the Policy Against Harassment and Sex Discrimination.

Yes. However, if the College does not have your name, it may be limited in any follow-up.

Yes. The Policy Against Harassment and Sex Discrimination may apply to off-campus behavior, including while studying abroad. Students, faculty, and staff may also contact the Title IX Coordinator directly to report, to request supportive measures, or to be connected to other support resources. College resources remain available to you while abroad or traveling. Supportive measures are available to students, faculty, and staff even if the respondent is not associated with the College.

Information on this form is sent to the Title IX Coordinator for review and follow-up. The Associate Vice President for Human Resources also receives a copy of the form.

No. However, confidential resources are available.

The College strongly encourages students to report incidents violating the Policy Against Harassment and Sex Discrimination. Therefore, students who act responsibly by reporting to the appropriate authorities information about conduct violating these policies typically will not face College disciplinary action for their own drug or alcohol possession or consumption in connection with the reported incident.

The College does not tolerate any form of retaliation for reporting in good faith or for participating in an investigation or hearing. This form may be used to report retaliation.


Harassment, Discrimination, Hazing Reporting Form

You may use this form to report conduct that may be prohibited by the Policy Against Harassment and Sex Discrimination. This form may also be used to report conduct that may be prohibited under other College harassment, discrimination, and hazing policies. Reports will be forwarded to the appropriate office at the College. For purposes of the Policy Against Harassment and Sex Discrimination, this report may not be considered a Title IX formal complaint requesting an investigation as more information may be needed. Please contact Kalamazoo College’s Title IX Coordinator for more information. For immediate threat or safety concerns, contact local public safety at 911. Do not use this form to report situations that pose an immediate threat or safety concern.

  • Reporter Information

    Any College employee, unless deemed confidential, is required to promptly notify the Title IX Coordinator or the Associate Vice President of Human Resources about conduct that may reasonably be believed to be prohibited by the Policy Against Harassment and Sex Discrimination. Notifications must include the information and details disclosed and may be submitted through this reporting form.
    If you would like the College to consider your request not to be contacted, please select “None.”
  • Details of Reported Incident

    Check all that apply to the best of your understanding. We will still receive and respond to your report if you are uncertain.
  • In your own words, briefly describe the conduct being reported, including time; date; and location if known. Please provide the names and contact information of persons directly involved/impacted and of any witnesses. If you are not comfortable sharing details through this form, you may provide additional information to the Title IX coordinator in person, via email, telephone, or mail. A Title IX team member or Human Resources will reach out to discuss resources, support, and next steps if contact information is provided. You may provide additional details at that time.
  • This field is for validation purposes and should be left unchanged.