George Mason University
George Mason University Mason
George Mason University

Intake Form

This form will provide Compliance, Diversity and Ethics (CDE) with basic information regarding alleged incidents of discrimination, Title IX misconduct, or ethics violations at George Mason University.  Please fill out all 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 field below.
Please provide your current mailing address, including apartment or unit number where applicable.
Please identify and select your status.

Basis of Complaint and/or Alleged Discrimination

Regarding discrimination under Title VII of the Civil Rights Act of 1964 (definitions), please select the category or categories that best describe your allegation(s).  Hold the CTRL (or CMD) key to select multiple.

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

To report a violation of Mason's Code of Ethics, Conflict of Interest rules, or other applicable law or policy, please select below.

Complaint

Please provide details regarding the specifics of your complaint.

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