See Something/Say Something

Background Information

Please provide your own contact information in case we need to follow up with you for additional information.

Your full name:

Your position/title:

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Faculty/Staff/Student/Community

Your phone number:

Your email address:

Email address must be of a valid format.

Nature of this report(Required):

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Faculty/Staff vs. Student(Required):

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Is the person of concern a faculty or staff member of UNG? (These are routed separately).

Date of incident(Required):

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Time of incident:

University Campus(Required):

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Specific location:

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residence hall; home; classroom; online environment; other

Involved Parties

Please enter information regarding person of concern first and then other related parties.

Name

Select Role

ID Number (if known)

Supporting Documentation

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5GB maximum total size.
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Background Information

Involved Parties

Supporting Documentation

Submission