DMU Anonymous Reporting Form

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This form will allow the university to receive information anonymously in regards to incidents of hate or harassment that have happened to DMU students. The university takes reports of this nature very seriously and there are a number of support and reporting options available to DMU students.
However, De Montfort University understands that not everyone will want to formally report their experiences which is why we have developed this anonymous form. The university will not be able to investigate any reports received via this form, however you telling us about what has happened through this form helps us monitor the prevalence and type of issues DMU students are experiencing in order that we can make better use of resources available and ensure that our training programmes and initiatives are being targeted to the appropriate areas.

If you would like to report an incident involving hate or harassment that you have experienced or witnessed you can contact the No Space For Hate Project for, or the Academic Support Office for investigations and disciplinary information:
https://www.dmu.ac.uk/current-students/student-support/exams-deferrals-regulations-policies/student-regulations-and-policies/student-code-of-conduct.aspx

The university has a policy on hate and harassment which can be found here:
https://www.dmu.ac.uk/documents/dmu-students/academic-support-office/policies/nsfh-policy-2020.pdf

Please note this form is limited to DMU students. DMU staff should refer to the guidance in the Dignity at Work policy and Grievance procedure on how to address and report concerns of this nature (include the links listed below). DMU employees and their families may also access free and confidential counselling support and advice on a range of lifestyle challenges via the Health Assured Employee Assistance service who are contactable on 0800 716 017.

https://demontfortuniversity.sharepoint.com/sites/DMUHome/org/POD/HR/Documents/Dignity%20at%20Work%20Policy.pdf

https://demontfortuniversity.sharepoint.com/sites/DMUHome/org/POD/HR/Documents/Grievance%20Procedure.pdf

1. Are you reporting this on behalf of:

Yourself

A student

A member of staff

An apprentice

2. Are you:

An undergraduate student

A postgraduate taught student

A postgraduate research student

An apprentice

Clear selection

3. Which school do you belong to?

Art, Design and Architecture

Fashion and Textiles

Humanities and Performing Arts

Leicester Castle Business School

Leicester DeMontfort Law School

Engineering and Sustainable Development

Leicester Media School

Computer Science and Informatics

Allied Health Sciences

Applied Social Sciences

Pharmacy

Nursing and Midwifery

Don't know

I don't want to disclose

Clear selection

4. Why are you reporting anonymously?

The victim did not want to report it themselves

I feel partly to blame for what happened

I'm worried there would be social repercussions

I cannot prove the behaviour took place

I don't want anyone to know it took place

I'm worried that I won't be believed

I don't have time to make a complaint

I don't know how to make a complaint

I am worried about being called a troublemaker

I don't want to get someone else into trouble

I'm worried the perpetrator might retaliate

I feel nothing would be done if I made a complaint

It's not serious enough to warrant a complaint

I feel embarrassed or ashamed

Making a complaint would have a negative effect on my health

I am concerned that it might affect my current or future career

I reported it to someone at DMU but they did not take it seriously

Other

5. Do you believe the behaviour you suffered or witnessed was based on prejudice or hostility because of personal, or perceived personal characteristics?

Yes

Clear selection

5a. If yes, please indicate which one(s)

Age

Disability

Gender

Sexual orientation

Ethnicity or race

Religion or belief

Transgender status

Nationality

Pregnancy and maternity

Marriage and civil partnerships

Other

N/A

6. What type of behaviour took place?

Inappropriate use of social media

Harassment, either in person or via, phone / electronic such as calls, messages or social media

Treating someone less favourably because of their characteristics or identity or perceived characteristics and identity

Verbal abuse or offensive comments about someone’s characteristics or perceived characteristics

A microaggression which you perceive was intentional

A microaggression which you perceive was unintentional

Physical misconduct (hitting, pushing, spitting, pulling hair etc)

Controlling, coercive or intimidating behaviour

Stalking/Harassment via repeatedly following another person physically or online

Damage to home/accommodation and/or other personal property (personal belongings such as bags, university materials -notebooks, laptop and kitchenware if in shared accommodation)

Hate speech or display/circulation of discriminatory literature or posters

Other behaviour not listed

7. If you were the victim, have you sought support?

Yes, I have sought support from a friend or family member

Yes, I have sought support from DMU

Yes, I have sought support from an external organisation

No, but I will seek support soon

No, I don't want to seek support right now

No, as I don’t know where to seek support

8. If you were a witness, have you sought support?

Yes, I have sought support from a friend or family member

Yes, I have sought support from DMU

Yes, I have sought support from an external organisation

No, but I will seek support soon

No, I don't want to seek support right now

No, as I don’t know where to seek support

9. When did the incident take place?

In the last week

In the last month

In the last year

Over a year ago

Clear selection

10. Where did the incident take place?

On DMU campus

Off DMU campus, but in Leicester

At my student accommodation

My home town (if that is not Leicester)

The incident happened online or virtually

11. The perpetrator(s) was/were:

A stranger

Someone known to me/the victim

11a. If known, are they:

A DMU student(s)

A DMU staff member(s)

Clear selection

11b. If not known but you are able to identify them, are they:

A DMU student(s)

A DMU staff member(s)

Clear selection

Submit

Clear form

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