Title IX Formal Complaint Form
Burrell College of Osteopathic Medicine Title IX: Sex Discrimination and Harassment Policy Formal Complaint Form
This form may be completed by any member of the Burrell community who has experienced or otherwise become aware of an incident that may constitute a violation of the Title IX: Sex Discrimination and Harassment Policy. Please complete the form to the best of your ability. Questions regarding this form should be directed to Title IX Coordinator: Nina Nunez, MAED, email@example.com, 575-674-2339.
If there is a potential conflict with the Title IX Coordinator, please contact Assistant Vice President of Human Resources, Dawn Leake, 575-674-2284, firstname.lastname@example.org, Office 351.