AIN Conference Code of Conduct Report 
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Confidential Reporting
Use this form to report incidents related to the Code of Conduct (e.g. unacceptable behavior, harassment) at AIN Conferences or at any community event hosted by AIN.

You may include your name and contact information, or you may choose to submit a report anonymously. All reports are confidential.

To reach out to a member of the AIN Board of Directors or conference organizing committee for any issues or questions, please contact Carla Vigara or Ed Reggi and they can meet with you to discuss your concerns or your report. (For a copy of the AIN Code of Conduct, please contact Board Secretary Chris Esparza).
Incident Details
What type of violation are you reporting? *
Select all that apply
How were you involved in the incident? *
What happened?  *
Please share with us the what, when, and where.
Name or description of the person(s) involved in the incident
AIN asks for this information to better assess the situation and, if necessary, conduct an investigation.
Your name and contact info (optional)
You may submit this report anonymously, thus limiting AIN's ability to follow-up with you directly.  If you choose to identify yourself, AIN will work with you to respect your confidentiality. 
What is your preferred outcome? 
Please note that AIN will discreetly follow-up on all reports to determine the appropriate course of action and may need to reach out to you to understand the full context of the situation. We appreciate your thoughts in how you would like us to resolve the situation.
Is there anything else you'd like to share?
How can AIN follow up with you? *
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