Date Format: MM slash DD slash YYYY
Give a description of the incident and how it happened. Give as much detail as possible.
List who was involved. Their names and grades if known and what role they played in the incident. It may be helpful to list witnesses.
Where did the incident take place? What part of the building? What floor?
Are there any other details that could be useful to resolving this situation?
Would you like your Anonymous Report to be shared with any specific member of the BHSEC Student Support Team.
Have you shared your account of this incident with anyone else? If so, are you willing to tell us whom?
Only if you would like periodic and allowable followup on the incident you reported, you may leave your name and a means of contact below:
Please leave your phone number or full email address.