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.
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.