Anonymous Submission Form

* = Required Field
What is your relationship to Laurentian University?
Date of incident

Note: Year must be specified, but month is optional. If this is a multi-year or ongoing incident, indicate the most recent year in which the matter was witnessed or experienced.

Location of incident
Are you:
Identity of the perpetrator(s)
What personal characteristic was targeted in the incident?
Check all that apply
Have you shared this incident with any campus/community authorities?
Please describe the situation or incident that took place in as much detail as possible.

I understand that the university will be limited in its ability to address specific incidents without my name and contact information. I understand that the anonymous information I have provided will be used to inform and assess systemic initiatives to create a more inclusive experience for campus community members.

If you would like to schedule a confidential meeting with an advisor from the EDHRO, please contact the office at edhro@laurentian.ca or 705.675.1151 ext. 3427