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Excellence, Collaboration, Integrity, Respect.

Online Report Form (Dating/Domestic/Sexual Violence and Stalking)

Online Report Form (Dating/Domestic/Sexual Violence and Stalking)

Carl Sandburg College makes every effort to create a campus environment that provides safety and respect to all members of the community we serve. Our students, faculty, staff and guests are an integral part of what makes our college a great one. In order to support these measures, we are providing an online confidential and anonymous form to report any incidents that you may witness or have been involved.


If you have been involved with or you have witnessed an incident, please fill out the form below. This information will go to the Title IX Coordinator and the Director of Public Safety. If you are witnessing an incident on campus, please call 341-5304.  If you are witnessing an incident off campus, please call your local police.


It is important to note that the contact information field below is an optional field so that you may remain anonymous if you would like. By remaining anonymous, it may hinder the chances of following up on the investigation thoroughly as there is no way to ask follow up questions. You may also print the form linked below and mail it to:


Title IX Coordinator
Carl Sandburg College
2400 Tom L. Wilson Blvd
Galesburg, IL  61401

Incident Information

Optional Contact Information