If you have witnessed or experienced an act of discrimination on campus, please provide information in the fields below. You may fill this
form out anonymously by providing no identifying information, and providing only the information you feel comfortable sharing. If you are filling out this form because
you are a Title IX Responsible Employee please identify yourself and include as
much information as you are able.
Thank you for reporting this incident. If you provided your contact info, we will follow up with you in a timely manner. If you have questions or would like to speak with non-confidential staff about the incident, please contact Nicole Briggs, Title IX Coordinator, at 541-885-1847 or email at email@example.com. Or, to speak with confidential staff about your options, please contact the Oregon Tech Integrated Student Health Center at 541-885-1800, M-F 8:00 a.m. - 5:00 p.m., and ask to speak with confidential Counseling staff. You may also call the Klamath Crisis Line at 541-884-0390 or National Sexual Assault Hotline at 800-656-4673.