Department of Physics Issues or Concerns for the R-Cubed Chair
If you would like to submit issues to the Chair of the Representation, Recruitment and Retention (R-Cubed) Committee, please use this form. The current Chair can be found on: https://www.colorado.edu/physics/partners/representation-recruitment-and-retention-r-cubed
Sign in to Google to save your progress. Learn more
Note on Anonymity 
Providing your name and contact information is entirely optional, but strongly encouraged. This would allow us to follow up with you and talk with you personally. However, if you do provide your name or identifying information and your concern or issue is related to any kind of sexual misconduct or protected class discrimination, that information must be forwarded to CU's Office of Institutional Equity and Compliance. You can report incidences of discrimination and harassment yourself directly to OIEC at cureport@colorado.edu or through their "Report it" website at www.colorado.edu/reportit/. This form may take a few days to respond to, if this is urgent, please reach out to the Office of Victim Assistance (OVA), which provides free and confidential support, advocacy, and information
Name (optional)
Please feel free to indicate any issue or areas of concern you feel the Chair of Representation, Recruitment and Retention (R-Cubed) Committee should be aware of. The only people who will view results of this form are the R^3 Chair and the Physics Department Chair, unless you specify otherwise below.*
*
Can this information be shared with the rest of the R^3 Committee at the discretion of the Chair of R^3?
*
Would you like the R^3 Chair to not share this information with the Physics Department Chair? If you click this, the results of this form will not be shared with the Physics Department Chair
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of Colorado Boulder. Report Abuse