Sexual Misconduct Report

To file a report with the University, please complete this on-line form which will be submitted electronically to the Title IX Coordinator. You do not have to complete all of the questions but we ask you answer them to the best of your ability. You can also call the Title IX Coordinator’s Office to make arrangements for a representative to meet with you there or at another location. If you are unable for any reason to complete this form and would like to make a verbal report, please call the Title IX Coordinator’s Office to schedule an appointment.

Although the University cannot commit to keeping a report of sexual misconduct confidential because of the University’s obligation to investigate the report, the University will use its best efforts not to disseminate information concerning the report beyond those who have a need to know. Please feel free to contact our office if you have any questions regarding the process for filing or investigating reports of sexual misconduct.

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Shawn Zook

Title IX Coordinator, Human Resources & Payroll Specialist

Human Resources
402-643-7261 shawn.zook@cune.edu Weller Hall 102
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Connie Butler

Director of Human Resources

Human Resources
402-643-7332 connie.butler@cune.edu Weller Hall 102

A victim of sexual misconduct is encouraged to use the University’s internal report process.

When the form has been completed and signed, your report has been properly received and noted by the University. We will provide you with a copy of this form as well as complete information about the sexual misconduct complaint process. 

Sexual Misconduct Report

Your Contact Information

Information Regarding the Victim/Complainant

Information Regarding the Accused Party/Respondent

Information Regarding the Incident

Witness(s)

Witness 1

Witness 2

Witness 3