Hampshire College Anonymous Report
The Student and Employee Anonymous Report form is utilized in situations where the reporting party would like to stay anonymous. If submitting an anonymous report, the report will be reviewed by the appropriate office (i.e., employee concern - human resources; student concern - dean of students office; sexual misconduct & Title IX - title IX office; grievance/discrimination/racism - JEA, student affairs, human resources; etc.) and they will look into the matter and address it in accordance with college policies and practices. Please note, if submitting an anonymous report, we will not be able to follow-up with you to confirm we received the report nor will we be able to provide you an updates.

This form is reviewed Monday through Friday between the hours of 8:30 a.m. to 4:30 p.m. when the college is open. If it is an emergency that requires immediate support and intervention, DO NOT submit the form. Instead, call Campus Safety at 413.559.5555 for 25/7 assistance and guidance.

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Name of Student(s) and/or Employee(s) of Concern *
Pronouns (if aware)
Concern Area *
Date of Incident/Concerning Behavior
MM
/
DD
/
YYYY
Location of Incident/Concerning Behavior (if applicable)
Were other individuals involved? If you are able and willing, please provide the names of other individuals involved.
Please provide detailed description of the incident/concern using specific, concise, objective language (who what, where when, why, and how): *
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