Echoing Green Online Incident Report
If you believe you have been subjected to harassment of any kind, from anyone, or witness harassment of any kind or believe there has been some other violation of this policy or Echoing Green’s Code of Conduct, please immediately report the incident directly with a designated Safety Guide, a chaplain, the Vice President of Programs, or the Event Manager at the event, or through the online reporting form
1. Which event are you attending *
Your answer
2. Please check the option that best applies to your situation: *
3. Please describe the incident, date and time, and what happened, when, and where, and the persons involved: *
Your answer
4. Please identify the names and contact information (if known) of any witnesses: *
Your answer
5. Are there any documents relating to your report? *
5a. If yes, what are they
Your answer
5b. Would you be willing to provide a copy for the investigation?
6. How would you like to see the matter resolved? *
Your answer
7. Is there anything else that you'd like to share? *
Your answer
8. How can Echoing Green follow up with you? *
8a. If you selected to be contacted by telephone or email, please provide your contact information below *
Your answer
Disclaimer
Please note that Echoing Green will conduct an investigation, communicate the outcome of the investigation to the parties involved, and will follow-up on all reports to determine the appropriate course of action which may include, but is not limited to: giving a warning, barring an attendee from an activity or the conference, requiring an attendee to leave early, barring attendee from future participation.
Thank you.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service