Anonymous Form to Report Harassment to NNIP Co-directors

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This form is made available to make an anonymous report of harassment experienced at an NNIP venue, whether in-person or virtual, including any related social activities. Please see NNIP's anti-harassment policy for more detail. [include link]

We will be unable to follow up on an anonymous report with you directly, but we will investigate any allegations to the extent we can and take appropriate follow-up action.

Name of person who engaged in the harassing behavior
*

Please describe the behavior that was in violation of the anti-harassment policy.
*

Please provide the approximate time and location of the behavior.
*

Please describe the circumstances surrounding the incident.
*

Please note if a warning or request to stop the behavior was given (by you or others) and the resulting response. *

Please provide the names of others involved or who witnessed the incident.

Name (optional)

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms