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 Anti-Discrimination, Anti-Harassment, and Title IX​ Policy which covers sexual harassment and sexual misconduct, including but not limited to sexual violence, sexual assault, stalking, dating violence and domestic violence. If your report involves a different type of incident, please use the Student Complaints process, found in the catalog.

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 a confidential advisor who can explain your options for reporting to The Chicago School. A confidential advisor can be reached by calling the YWCA at 1-888-293-2080. To obtain a confidential advisor, please call the hotline​, identify yourself as a member of the Chicago School​ Community, and ask for a confidential advisor. ​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​

Email: [email protected] 

Title IX Incident Reporting form