Wayland Baptist University

Sexual Harassment, Sexual Assault, Sexual Misconduct, & Domestic/Dating Violence Reporting Form

You may use this page to submit any information you have regarding a potential Title IX violation that has occurred on or off campus. Use this page only to submit information on incidents that have already occurred. For incidents in progress or emergencies - DIAL 9-911 on campus, or 911 off campus. If you use your cell phone or a phone off campus, DIAL 911.
Enter the type of complaint:  
Enter the location of the incident:  
Enter dates/times when this occurred:  
Describe the incident; include names and witness if possible:
The following is OPTIONAL. Enter your information only if you want to be contacted by the Title IX office
Name:
Phone Number:
Email Address:
Please attach any documents you have supporting your statements. (May include photos, screenshots, images of posts on social media, etc.)


If you have any questions or concern, please contact the Title IX Office at 806-291-1173. If after hours call WBU Police (806) 774-4225.
Verification: (type the case-sensitive text shown below)