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Harassment/Violence

Your Status (Undergrad, Grad Student, Employee)


College Affiliation



I am reporting harassment.
I am reporting an act of violence.
What kind of problem(s)?

Cyber-bullying
Date Violence
Gang Activity
Harassment
Phyical Aggression
Social Networking (i.e. Facebook, YouTube, Twitter, etc)
Stalking
Threat of Bomb
Weapon (Gun, Knife, etc)

Other
Who is the offender?
Please state name(s)
Where is it happening?

At School
Off Campus
Online
When?

Is it recent?
Yes No

Has happened more than once?
Yes No

When did it start?


Explain the situation


Levels
I want to be anonymous
I need someone to contact me

  If you need immediate assistance, dial 911.



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