Online Behaviour Report

* indicates a required field

Behavior Concerns: Misconduct, Harassment, discrimination & Violence

Reporting Form

Report Type(s)(Required) *

Please select the type of situation that you are reporting.

Online Report

 

Important Note

Important Note

Cases that present an immediate threat to self, others, or property should be considered an emergency and should be directed to Israa University by calling +97082843433, +970594600140.

Reporting Anonymously

Reporting Anonymously

If you would like to make an anonymous report, please note that the University may not be able to follow-up or take action if there is limited information provided. The University reserves the right to use discretion in assessing behavior concerns submitted through the Online Report.

Privacy and Confidentiality

Privacy and Confidentiality

Confidentiality will be maintained as much as possible, however the University may be required to release some information to appropriate parties.

Source of Information

Reporter's Name

Provide your full name, or leave blank if reporting anonymously.

Reporter's Email(Required) *

Provide your email in case we need to follow-up with you.

Reporter's Phone

Provide your phone number in case we need to follow-up with you.

Reporter's IUSG Affiliation(Required) *

Time and Location

Date/Time of Incident(Required) *

If applicable, what was the approximate time that the incident/situation occurred?

 

Clery Location(Required) *

Where was the location of the incident/situation?

Additional Location Information

Please provide any additional location details (i.e. physical address, apartment complex, or any other location details).

Parties Involved

Person of Concern(Required) *

Please list one person per form.

Person of Concern IUSG

Please include the person of concern's IUSG, if known.

Person of Concern IUSG Affiliation(Required) *

Witness(es)

Please list names and contact information (if available) for all witnesses to the reported situation.

 

Descriptive Information

Description(Required) *

Please provide a description of the situation and as much information as possible (i.e. nature of the situation, frequency of behaviors, examples of behaviors, observations, quotes, etc).

Attach documents/Upload

Online Reporting Conditions

Online submissions will be addressed during normal business hours, Saturday- Thursday (8am-3pm). If submission is posted after hours, the matter will not be addressed until the following business day.