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If this is an emergency situation, please contact Campus Safety at 816-501-4010 or call 911 immediately.

Sexual Harassment Reporting Form

The Sexual Harassment Reporting Form should be used to report any incident involving Rockhurst's Sexual Harassment Prevention and Response Policy (including sexual harassment, sexual violence, domestic violence, dating violence, stalking, or any other form of sex discrimination). Please note that all staff, faculty, and administrators (excluding those working in a confidential capacity such as counselors, medical providers, and clergy or campus ministry staff when providing pastoral care) are required to disclose any reports of sex discrimination and may not make anonymous reports. Rockhurst University encourages all victims to make a report with law enforcement agencies and seek immediate medical attention at the local hospital, especially in instances of sexual violence.

Discrimination, Harassment and Retaliation Reporting Form

The Discrimination, Harassment and Retaliation Reporting Form is for reports of discrimination, harassment and retaliation on the basis of race, color, creed, religion, sexual orientation, marital status, national origin or ancestry, age, gender, disability, citizenship or intended citizenship status, veteran status or any other status protected by law (“protected status”). See the Rockhurst University Policy Against Harassment, Discrimination and Retaliation. (Discrimination, harassment and retaliation on the basis of sex are governed exclusively by the University’s Sexual Misconduct Prevention and Response Policy)

Incident Reporting Form

The Incident Reporting Form is for reporting violations of the Student Handbook. Examples include drugs, alcohol (including amnesty), harassment, disorderly conduct, quiet hours, visitation, etc. If you have questions about whether a violation falls under this category, please contact the Assistant Director of Residence Life at 816-501-4126.

Concerning Behavior Reporting Form

The Concerning Behavior Reporting Form is for sharing concerns you have regarding the well-being of others on campus or concerning behavior that may not be considered a conduct violation but is worrisome nonetheless.

By sharing your concerns, you are helping to maintain Rockhurst as a healthy and safe campus environment. Once received, the information will be reviewed and you may be contacted for additional information. If you wish to make an anonymous report of concerning or worrisome behavior, the report will be evaluated and a determination will be made for what follow-up (if any) is necessary to address the concerns. You are strongly encouraged to provide your name and contact information to allow us to call or email you if we have additional questions regarding your report. See the Rockhurst University Disruptive and Dangerous Conduct Policy.

Pregnancy or Parent Adjustment Request for Students Form

Click here for the Pregnancy or Parent Adjustment Request for Students Form

A student who becomes pregnant is strongly encouraged to notify Rockhurst University's ("Rockhurst") Title IX Coordinator as soon as possible.  The Title IX Coordinator and the student can collaborate and develop an appropriate plan for the continuation of the student's education in light of the unique nature of Rockhurst's programs and any clinical requirements, as well as particular challenges the student may face while pregnant or when recovering from childbirth (e.g. missed classes, clinicals, make-up work, etc.).  However, the choice to declare a pregnancy is voluntary, and a student is not required to disclose this information to Rockhurst.

Students with parenting responsibilities who wish to remain engaged in their coursework while adjusting their academic responsibilities because of the birth or adoption of their child or placement of a foster child or other extraordinary parenting responsibilities may request an academic modification period of up to two weeks beginning with the first six months of either the child entering the home or when the extraordinary circumstances arose.

To make a request for pregnancy and parenting students accommodation/adjustment request, please fill out the Pregnancy or Parent Adjustment Request for Students Form. This form will be forwarded to the Title IX Coordinator and Deputy Title IX Coordinator for Students.

Student Pregnancy and Parenting Students Accommodation/Adjustments Policy

Neighbor Reporting Form

Please complete the Neighbor Reporting Form to the best of your ability in order to provide Rockhurst University as much information as possible to investigate. This report does not take the place of contacting Rockhurst University Security at 816-501-4010 if the incident is in progress. The reporter is allowed to remain anonymous.

Campus Life


  • Student Development
  • Campus Ministry
  • Center for Career Development
  • Title IX
  • Counseling Center
  • International Students
  • Residence Life
  • Student Life
  • The RockCast
  • Disability Resource Center
  • Dean of Students
  • Freshman Experience
  • Health Services and Insurance

  • Resources
  • Care, Concern & Incident Reporting
  • Dining Services
  • FERPA Release Form
  • First Generation Students
  • Love in Action
  • Health Insurance Waiver
  • Immigration & DACA Information
  • Immunizations
  • Parking Registration
  • Student Handbook
  • Return to the Rock
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816-501-4000 | info@rockhurst.edu
1100 Rockhurst Road
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816-501-4000
info@rockhurst.edu
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