Title IX Discrimination Complaint Form

Title IX of the Education Amendments of 1972 (20 U.S.C. § 1681) is a federal law that prohibits discrimination based on the gender of students and employees of educational institutions which receive federal financial assistance.  The formal complaint must be in writing, and signed by the Complainant, but can be in any form. If there is a procedural deficiency with any formal complaint form, the Title IX Coordinator will notify the Complaint of the deficiency and allow the correction of the formal complaint prior to filing. When this form has been completed and signed by you, and then signed by the Title IX Coordinator, your complaint has been properly received and noted by the College. The Title IX Coordinator will provide you with a copy of this form as well as complete information about the Title IX complaint process. 

My current status at Miles College is:
Name
Address
Type of Title IX Sexual Harassment or Discrimination:
Please provide the name and telephone number or other contact information for any witnesses you believe may be able to provide information about your complaint.