Vice President for Student Affairs203 Werner University Center503-838-8221
Student Health and Counseling Center503-838-8313
Met same day, socially
If a survivor wishes for the assault to be recorded in university statistics, this section must be completed in full. All mandatory reporters are required to complete this section as well.
Presence of Weapon
Threat of Death
Incapacitation due to drugs
Incapacitation due to alcohol
Note: An incident does not have to involve coercion or force to be considered a student conduct violation. Reporting drug or alcohol use here will not result in any sanctions for the survivor. For more information, contact the Office of Student Conduct.
WOU Faculty or Staff Name required
Office of the Vice President for Student Affairs 503-838-8221 | or e-mail: firstname.lastname@example.org
Western Oregon University
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