Ethics Hotline Online Reporting

Location Information

Location and Name(Required)

Address(Required)

City State / Province / Region ZIP / Postal Code

Reporter Information

Would you like to provide your name?(Required)

Name(Required)

First Last

Relationship to the College(Required)

Phone(Required)

Email(Required)

Incident Details

What incident type best describes the issue?(Required)

When did the incident occur?(Required)

Where did the incident occur?(Required)

How do you know about the incident?(Required)

Is any supporting information available?(Required)

Upload supporting documentation (documents, emails, voicemail, photos, etc.)(Required)

Drop files here or

Max. file size: 50 MB.

Provide a detailed description of the incident(Required)

(Please provide as much detail as possible including times, dates, places, and names.)

Responsible Individuals

Responsible Party 1

Do you know the individual's name?(Required)

Name(Required)

First Last

Title

Description of the individual(Required)

Be as specific as possible.

Add another responsible party?(Required)

Responsible Party 2

Do you know the individual's name?(Required)

Name(Required)

First Last

Title

Description of the individual(Required)

Be as specific as possible.

Add another responsible party??(Required)

Responsible Party 3

Do you know the individual's name??(Required)

Name(Required)

First Last

Title

Description of the individual(Required)

Be as specific as possible.

Management Notification

Was management notified?(Required)

Manager 1 Information

Name(Required)

First Last

Title(Required)

Date Notified(Required)

Action Taken

Add another notified manager?(Required)

Manager 2 Information

Name(Required)

First Last

Title(Required)

Date Notified(Required)

Action Taken

Add another notified manager?(Required)

Manager 2 Information

Name(Required)

First Last

Title(Required)

Date Notified(Required)

Action Taken

Other Involved Parties

Is anyone else involved or aware of the incident?(Required)

Name or Description(Required)

How is the individual involved?(Required)

Do you know the individual's name?(Required)

Name(Required)

First Last

Title

Description of the individual(Required)

Add another involved party?(Required)

Name or Description(Required)

How is the individual involved?(Required)

Do you know the individual's name?(Required)

Name(Required)

First Last

Title

Description of the individual(Required)

Add another involved party?(Required)

Name or Description(Required)

How is the individual involved?(Required)

Do you know the individual's name???(Required)

Name(Required)

First Last

Title

Description of the individual(Required)

Incident Web Report

Location Information

Reporter Information

Incident Details

Responsible Individuals

Responsible Party 1

Responsible Party 2

Responsible Party 3

Management Notification

Manager 1 Information

Manager 2 Information

Manager 2 Information

Other Involved Parties

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Ethics Hotline Online Reporting

Incident Web Report

Location Information

Reporter Information

Incident Details

Responsible Individuals

Responsible Party 1

Responsible Party 2

Responsible Party 3

Management Notification

Manager 1 Information

Manager 2 Information

Manager 2 Information

Other Involved Parties

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