Point Blank Music School | Anonymous Reporting

Anonymous Reporting

This form is anonymous and confidential. It is for students, staff and members of the community who are reporting an incident related to Point Blank Music School to use.
We will not be able to act on the information or respond to you in person. We encourage you to reach out to wellbeing@pointblankmusicschool.com if you would like to speak with a member of staff directly.
How we will use your information

It is not possible to identify any individuals from the data collected in this form.
Point Blank will use the information you provide to help us understand what kind of incidents are taking place within our community and take positive action.
Reports on the data collected will be considered by a committee on a monthly basis.

I have read the information above and understand that no specific action can be taken as a result of reporting anonymously.*

Who are you reporting on behalf of?*

And you are a:*

Why would you prefer to report anonymously?:*

I don't know the individuals involved

I don't feel authorised to share details of the individuals involved

I'm not sure if it's serious enough to report formally

I don't want to get involved in a formal process

I want to move on quickly and not re-live the incident for any longer than necessary

I have reported the incident(s) to a member of staff and no action was taken

I am concerned my experience at the University will be affected as a result

I am concerned my personal life will be affected as a result

When did the incident(s) take place?*

Where did the incident(s) take place?*

Please state what you wish to report (be as descriptive as possible, detail who was involved, how many, where, what time, were any other witnesses present)*

What was the behaviour experienced? (Please tick all that apply)*

Harassment - Unwanted conduct on the basis of a protected characteristic which has the purpose or effect of violating an individual's dignity or creating an intimidating, hostile, degrading, humiliating or offensive environment for that individual.

What was the behaviour experienced? (Please tick all that apply)*

Bullying

Online

Physical

Racist behaviour

Sexual

Stalking (in person or online)

Verbal

Other harassment

Direct and indirect discrimination – Being treated less favourably than someone else because of a protected characteristic, or because you associate with someone who has a protected characteristic, or where there is a rule in place which disadvantages people with a protected characteristic.

What was the behaviour experienced? (Please tick all that apply)*

Less favourable treatment regarding social activities

Less favourable treatment regarding teaching and education

Less favourable treatment regarding access to employment opportunities

Other discrimination

Violence and abuse - The intentional use of power or physical force, threatened or actual, against oneself, another person, or against a group or community, that either results in or has a high likelihood of resulting in injury, death, psychological harm, maldevelopment, or deprivation.

What was the behaviour experienced? (Please tick all that apply)*

Controlling or coercive behaviour

Domestic violence or abuse

Hate crime

Intimidating behaviour

Physical misconduct (hitting, pushing, spitting)

Sexual violence or abuse

Other violence or abuse

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Anonymous Reporting