Cool Stars 22 Anonymous Harassment Report
Please fill out and submit this form to anonymously report if you have experienced or witnessed harassment at Cool Stars 22. Note that we cannot and do not track IP addresses nor are Google user accounts identified at any point during or after submission.  These responses are initially accessible to only three members of the SOC/LOC.  However, based on their nature, some responses may be discussed with more members of the SOC and LOC.
Sign in to Google to save your progress. Learn more
On what date did this event occur?
MM
/
DD
/
YYYY
Approximately what time did this event occur?

Time
:
Behavior in Violation
Please describe the harassment behavior you experienced or witnessed.
*
Circumstances of Incident
Please provide the circumstances surrounding the behavior. Any context can help.
Your answer
Alleged Perpetrator
If you can and feel comfortable, please identify the alleged perpetrator.
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