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Title IX Online Form

Richmond College Prep is committed to maintaining a safe, inclusive, and respectful learning environment for all students, staff, and community members. If you have experienced or witnessed discrimination, harassment, or any behavior that may violate Title IX, please use the form below to submit a report.

All reports are taken seriously and will be handled promptly, with care and confidentiality.

Required

Namerequired
First Name/MI
Last Name
Student Name
Student First Name (If Applicable)
Student Last Name (If Applicable)
Must contain only letters, numbers and spaces
Must contain a date in M/D/YYYY format
Must contain only letters
Must contain only numbers
Must contain only letters and spaces
For allegation(s) of noncompliance, please check the program or activity referred to in your complaint, if applicable:Please select up to 11 choices
Please select up to 11 choices
For allegation(s) of unlawful discrimination, harassment, intimidation or bullying, please check the basis of the unlawful discrimination, harassment, intimidation or bullying described in your complaint, if applicable:Please select up to 5 choices
Please select up to 5 choices
0 / 500
Attach up to 4 files with a maximum size of 10MB
No file chosen
Allowed file types: Document
I have attached supporting documents.requiredPlease select up to 1 choice
Please select up to 1 choice
Complete to receive a copy of your submission in your inbox.
Must contain a date in M/D/YYYY format
You may also submit a complaint and any supporting documents by mail to the Title IX Coordinator:

Keisha Prier, EdD
Chief Executive Officer
Title IX Coordinator
Richmond College Prep
1014 Florida Avenue
Richmond, CA 94804
(510) 235-2066 ext. 100