SSSP Anti-Harassment Policy Violation Form

To make an anonymous report of a SSSP Anti-Harassment Policy violation, complete the appropriate section(s) below. Your report will be received and reviewed by the SSSP Anti-Harassment Committee Chair, the Anti-Harassment Committee, the Executive Officer, and/or the President, depending on your preference. You may select to send your submission to any combination of recipients listed. 

Please note that if you check the box to “Include my E-mail address with form submission”, your submission is no longer anonymous. If this box is unchecked your submission is anonymous.

Include my E-mail address with form submission

If you wish to receive a copy of your submission you must enter your e-mail address in the 'Enter Your E-mail Address' box above.

Please select whom you would like to receive a copy of your submission.

SSSP Anti-Harassment Committee Chair
SSSP Anti-Harassment Committee (includes Chair)
SSSP Executive Officer
SSSP President

NOTE: Do Not Alter These Fields: