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Power-Based Violence/Title IX


Interim ADA & Title IX Coordinator

Jeremiah J. Sams, Esq.

Southern University System

(225) 771-5764

Leonard S. Washington Memorial Library

Room 123

jeremiah.sams@sus.edu


  FORMS

 

Power-Based Violence/Title IX Report Form

This form is used to submit reports of power-based violence and Title IX misconduct.

 Power-Based Violence Victims' Rights Policy Petition Form

This form is used by a victim to petition the Title IX Coordinator to have a perpetrator of an incident of power-based violence against the victim barred from attending a class in which the victim is enrolled.

Power-Based Violence/Title IX Notice of Appeal Form

This form is used to appeal the dismissals, written findings, and any sanctions, if applicable, of a matter adjudicated through the power-based violence grievance or the Title IX Formal Grievance Procedure.

Power-Based Violence Victims' Rights Policy Petition Appeal Form

This form is used to appeal the decision of the Title IX Coordinator regarding a Victims' Rights Policy petition.

Power-Based Violence Transcript Withholding and Notation Appeal Form

This form is used to appeal transcript withholding and notation.



On Campus Confidential Resources

Southern University at New Orleans Counseling Center
      Dr. Tanya White
          University Center - 3rd Floor
      Email: counseling@suno.ed
 
      Center for Prevention & Advocacy 
      Millie Charles School of Social Work - Suite 224
      504-284-5469

Off Campus Resources

      New Orleans Family Justice Center
      701 Loyola Ave #201
      New Orleans, LA 70113
      504-592-4005
      24 HOUR CRISIS LINE: 504-866-9554
       https://www.nofjc.org/
 
      Family Services of Greater New Orleans
      2515 Canal St. - Suite 201
      New Orleans, LA 70119
      504-822-0800
      http://www.fsgno.org/
 
      Louisiana Foundation Against Sexual Assault (LaFASA)
      Office: 225-372-8995
      24/7 HOTLINE: 888-372-8995
      TEXT: 225-351-7233
      https://www.lafasa.org/
 
      Louisiana Coalition Against Domestic Violence HOTLINE
      888-411-1333
 
      Sexual Trauma Awareness and Response (STAR) Office
      123 Genois St. 
      New Orleans, LA 70119
      504-407-0711
      24/7 HOTLINE: 855-435-STAR
      https://star.ngo/
      
      National Domestic Violence Hotline
      800-799-7233
      TTY
      800-787-3224
 
      RAINN (Rape, Abuse, & Incest National Network) 
      National Sexual Assault Hotline
      800-656-4673
      https://rainn.org/
 
      988 Suicide & Crisis Lifeline
      https://988lifeline.org/
 
 
For additional resources, please visit the Southern University System's Power-Based Violence/Title IX Webpage at: