BSC Witness Statement Form
The purpose of this form is to process witness statements regarding alleged violations of the BSC Conduct Code by current BSC members.

For questions about what happens after you submit this form - contact the BSC's Mediation and Conduct Committee Liaison (MCCL), Josh Lavine (mccl@bsc.coop). You may also send your statement(s) directly to the same email address. Feel free to also reach out to Anne Meffre, the BSC's Cooperative Experience (CEM) Manager (cem@bsc.coop).

Your answers & any personal information will be kept confidential by the BSC to the extent possible for the purposes of investigation.

For Immediate Emergency Member Support, contact (510) 812-9384.


[The Berkeley Student Cooperative is a student-run 501(c)(3) affordable housing provider that removes barriers to higher education for low-income and traditionally marginalized students and empowers them with community-building skills that they can take into the future.]
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Email *
What is your name? (first and last) *
To request that this information be anonymized, please indicate this request here or by emailing mccl@bsc.coop.
What is the name of the person for whom you're providing a witness statement? *
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