CogSci 2019 Code of Conduct report form
You may use this form to submit a report of a Code of Conduct violation if you are being harassed, notice that someone else is being harassed, or have other concerns. You may make a report either personally or anonymously. You may alternatively send a report by email directly to
. Any reports submitted using this form or by email will be accessible by the Governing-Board authorized Code of Conduct implementation team, which is comprised of Adele Goldberg, Roger Levy, Asifa Majid, and Kenny Smith. You may also make a report in person to a member of this team.
Details of the incident
Please describe the incident you are reporting. To help us appropriately respond to the report, it would be helpful if you could specify when and where the relevant incident(s) occurred.
Your name (optional)
This is optional; leave it blank if you wish to remain anonymous. We will make every effort to keep reports confidential.
Your contact information (optional)
If you'd like us to follow up with you regarding the incident, please enter your contact information (email and/or mobile phone). Your contact information, as part of your identity, will remain confidential.
Additional information (optional)
You can provide any additional information that may be relevant to your report of the incident. If there are particular actions that you feel might be appropriate and useful for us to take in responding to your report, you can describe them here. (Please feel no obligation to decide what might be appropriate actions for us to take, and we cannot guarantee that we will take actions you recommend, but if you have particular opinions in this regard we would value your input.)
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