Sexual Misconduct Report Form

Sexual Misconduct Report Form

    Manhattan School of Music prohibits the actions which constitute sexual or gender harassment (or other forms of harassment based on a protected category), sexual assault, intimate partner violence and stalking. To make a report of any of these actions you are encouraged to go to Carol Matos, Vice President of Administration and Human Relations and MSM’s Title IX Coordinator, who is located in room A-427, and who can be reached at However, in order to offer multiple options for making a report, we have created this form as one of those options.


    When you fill out this form you are not obligated to provide your name. Please be aware that if you do not provide your name you may limit MSM’s ability to respond to the information you share here, including MSM’s ability to take disciplinary action. However, even an anonymous report would allow us to put the person whose conduct allegedly violated our policy "on notice" and allow the School to make sure he or she understands what constitutes sexual misconduct under our Title IX/Sexual Misconduct Policy.


    Person Filing Report (optional - see above)

    Incident Details (all information below is required)





    I hereby certify that the foregoing information is true, correct, and complete to the best of my knowledge and belief.


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