Incident Report Form
This form should be used to notify that an incident has occurred which violates ESN's Code of Conduct. If an incident occurs during an activity, it should be reported to the Board Member present at the event. This form is for reporting an incident during an online activity or for when you do not feel comfortable reporting it to the Board Member. This form will be sent to the Confidential Advisors of the Executive Board, Annika Trappe and Jos Doldersum. Important to note is that this form can be filled out completely anonymously, simply leave the the answer boxes blank.
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Name
Not mandatory
E-mail address
Mandatory if you want us to contact you.
When did the incident occur? *
MM
/
DD
/
YYYY
Please provide details about the event *
Give details about the event such as kind of activity, name of activity, location.
What category does the incident fall under? *
Could you please provide more details about the incident?
Do you have any suggestions on how this could be resolved?
Keep in mind that other ways of resolving might be implemented as well
Would you like us to contact you about the incident? If yes, please make sure you fill in your email address in the question above.
清除選取的項目
Do you have any additional comments?
提交
清除表單
請勿利用 Google 表單送出密碼。
這份表單是在 ESN Groningen 中建立。 檢舉濫用情形
Google 表單