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Anonymous Reporting
The purpose of this form is to report any experiences that made you feel uncomfortable, or instances of harassment or discrimination. Please fill this out to the level of comfort that best suits you. Nerd House has a
zero tolerance policy
for any of these sorts of behavior.
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* Indicates required question
Name (optional)
Your answer
Preferred Method of Contact (optional)
If you want to remain anonymous, feel free to use a burner email.
We will do what we can to address the situation, but if you want to be notified of the steps we're taking, we need some way to get back to you.
Your answer
Did this incident happen in Nerd House or out of Nerd House?
*
Your answer
Did this incident include an in-house member or an event attendee?
*
In House Resident/Member
Event Attendee
Other:
To the level of comfort that suits you, please discuss the details if this incident (this may include but is not limited to parties involved, the date(s) of occurrence, if any administrative action has been taken by the college, etc)
*
Your answer
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