Title IX Incident Reporting Form

Who should use this form?

The Title IX Incident Reporting form should be used by any Chicago School Community Member to notify the Title IX Coordinator of a possible violation of The Chicago School's Policy Prohibiting Discrimination Based on Sex Under Title IX (Title IX Policy) or the Anti-Discrimination, Anti-Harassment, and Title IX​ Policy (section C only; for Texas and Louisiana Community Memebers). Chicago School Community Members should use this form to report:

  • Discrimination on the Basis of Sex
  • Sex-based Harassment 
  • Sexual Assault and Interpersonal Violence (e.g., sexual assault, sexual violence, dating violence, domestic violence, stalking, sexual exploitation)​​

If your report involves a different type of incident, please use the Student Complaints process, found in the Student Handbook.


what happens next?

This report will result in the Title IX Coordinator initiating a preliminary investigation of the allegations and information contained in this report. 

  • Alternatively, you may contact an external confidential resource​ who can explain your options for reporting to The Chicago School.  ​Note that filing this report does not result in a report to local law enforcement. 
  • If you would like to file a police report, please contact local la​w enforcement.​

If you have any questions, would like any additional information or would like assistance with completing this form, please contact:

Jennifer Stripe Portillo

Title IX Coordinator

Phone: 213.615.7264​​


Title IX Incident Reporting form