Code of Conduct Report (confidential)

What type of violation are you reporting?*

Select all that apply

Sexual harassment (unwelcome attention and/or inappropriate contact)
Discrimination (acts of racism or homophobia)
Invasion of privacy (intrusive and/or unwanted behavior)
Violence or threatening behavior
Disruptive or drunken behavior
Other (fill in the answer in the line below)

Other:

How were you involved in the incident?*

What happened?*

Please share with us what, when, and where.

Please identify the person(s) involved in the incident.

Your name will not be shared with the person involved in the incident, but TED needs to know who was involved in order to conduct a thorough investigation.

What is your preferred outcome?

Please note that in all cases, BRM Institute will discreetly follow-up on all reports to determine the appropriate course of action and may need to reach out to you to understand the full context of the situation. We appreciate your thoughts in how you would like us to resolve the situation.

Is there anything else that you'd like to share?

How can BRM Institute follow up with you?*

Other:

Phone

Email

Name (OPTIONAL)

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Code of Conduct Report (confidential)

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