Students' Union Incident Report

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Name of person you are reporting *

Campus (of person you are reporting) *

Waterloo

Brantford

Role of person you are reporting? *

Students' Union volunteer

Students' Union Club & Associations member

Name of Club or Association person you are reporting is a member of *

Name of Committee person you are reporting is a volunteer on *

Date of Offense *

Please provide description of offense *

Please upload any relevant documentation where applicable (i.e. screenshots, emails, photos etc.)

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What was your role in the incident you are reporting?

Involved directly

Witness

Made Aware Of (i.e. from other volunteers)

Name of submitter *

Role of submitter *

Students' Union volunteer

Students' Union Club & Associations member

Name of Committee you are a Volunteer on (please reference role you were acting in during time of incident - i.e. General Member of Foot Patrol) *

Name of Club or Associations you are a member of? (please reference role you were acting in during time of incident - i.e. Executive of Laurier Economics Club) *

Students’ Union Incident Report

Students' Union Incident Report

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