This form is a place to safely and privately report harassment, sexual harassment, bullying, violence, assault, or any related issues or concerns within The Ruby community.

You may submit a report anonymously, or you may attach your name.

If you provide contact information below we'll follow up with you, unless you indicate below that you do not wish us to.

The​ ​Ruby LA stand​s ​behind​ ​a​ ​zero tolerance​ policy​ ​in​ ​the​ ​face​ ​of sexual harassment.

For more information, please visit:

Thank you for making this report.

This report may be viewed by Jen Curran, Lindsey Barrow and Randy Thompson.
For information on their roles or how to reach them visit our website at

Are you making this report anonymously? *
What is your name?
Your answer
May we contact you? *
What is your contact information?
Your answer
Please describe what happened. (If possible, please use dates and times.) *
Your answer
Is there anything else we should know?
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.