AUDSS Misconduct Report Form
This is for members of the AUDSS who have witnessed or were victims of misconduct at an AUDSS and would like to remain anonymous.

We encourage you to include your name so that we are able to offer you appropriate support and fully follow up on your report, including informing you of the outcome. However, if you do not feel comfortable including your name, you may submit the form anonymously. Your name, should you choose to include this, will not be disclosed to any parties named in your report.

Reports submitted may be seen by AUDSS President, Vice-President, Incident Report Officers, and Events Executive Officers.

AUDSS Behaviour Management Procedures is as follows:
  • Complete the AUDSS Sexual Misconduct Report Centre form (to remain anonymous). This will be sent to the incident report officers Farida Zhakupova and Tilley Wong.
  • The offending party/parties will be emailed if you consent for them to be contacted and for the implementation of the AUDSS Behavior Matrix.
  • The offending party/parties will have a meeting with the Incident Report Committee (AUDSS President, Vice-President, Incident Report Officers, and Events Executive Officers) within 48 hours of being emailed by the Incident Report Committee.
  • Disciplinary action will be made on a case-by-case basis, using AUDSS Behaviour Matrix as a guide.
  • YouX and the Dean of Adelaide Dental School will be notified of the report and outcome.
  • AUDSS IT executive officer and Events General committee will be notified of any bans.
More information regarding AUDSS Events and Alcohol Policy and Behavior Management Procedures can be found here: https://www.audss.org.au/terms-and-conditions/#event-and-alcohol-policy 

Please note that we do recommend for all reportees to also make a report to the University of Adelaide Integrity Unit: https://uniadelaide.service-now.com/arc?id=arc_catalog_item&sys_id=55db6672dbb39d5027523632f3961990 

More information regarding the University of Adelaide Integrity Unit can be found here: https://www.adelaide.edu.au/safer-campus-community/reporting-options 
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Email *
Are you filling out this form on behalf of someone else?
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Is your complaint related to actions of:
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Do you know the name of the person/people your report is about? If so, please state their name/s.
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Please describe the incident or concerns that you wish to report, in the level of detail you are comfortable providing. You should include the details of any people involved (if you know them). They will not be notified of your report unless you consent for them to be contacted. It is helpful if you can include a location or event details.

Please provide as much information as you are comfortable doing at this time to assist us in responding to your report.

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Do you consent for disciplinary action to be carried out according to AUDSS Event and Alcohol Policy and Behaviour Management Policy?
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Date of incident. You can give an exact date or an approximate time eg. 1 month ago. If there have been multiple occurrences, you can list the dates.
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Please provide any further information you would like to tell us including any specific action you would like AUDSS to take with this matter.
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