During what activity did the incident(s) happen? (e.g., BCC lecture, Guye Cabin work party, etc.)
Your answer
Where did the incident(s) occur?
Your answer
When did this incident occur? (Or first date when behavior first observed)
MM
/
DD
/
YYYY
Who or what is the primary subject of your grievance? *
Your answer
Factual narrative: Tell us what happened. Please include whether this was a one-time incident or if it is recurring. Do your best to provide an objective representation of what happened. *
Your answer
Have you spoken to the individual(s) about their behavior or asked them to stop? If so, how did they respond? If not, can you explain whether you have concerns about speaking with them directly?
Your answer
Names of anyone who witnessed the event or has personal knowledge of what happened: Who would be important to talk to in order to better understand or verify your concerns?
Your answer
Desired outcome - What is your desired outcome from this investigation?