Anonymous Reporting Form
You can use this page to submit reports of sexual assault, dating/domestic violence, or stalking activity anywhere on or near the campus of Bennett College. Only enter your name, email and telephone number if you wish to be contacted. This form allows you to report any known incidents to the Campus Safety while remaining anonymous.

If you would like to speak privately to a SART advocate now, please call (336) 365 - 6879. Advocates are on call 24/7 and can provide information, support, and resources.

NOTE: Information included in this form goes privately to Campus Safety. No further action will be taken after receiving this form unless requested.

Incident Details
Fire at
Watkins House
September 3, 2018 *
MM
/
DD
/
YYYY
Aprox. 1820 *
Time
:
Nature of the Incident *
Location of the Incident *
Your answer
*
Victim Information
This information is not required.
Watkins House / Bennett College
Your answer
Victim's Email
Your answer
Victim's Sex
Victim's Date of Birth
Your answer
Reporting Person's Name
Your answer
Affliation to victim
Your answer
Phone Number
Your answer
Witness Information
If witness present, please present all information available.
Witness First and Last Name
Your answer
Witness Phone Number
Your answer
Witness Email Address
Your answer
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