EthicsPoint

ETHICSPOINT IS NOT A 911 OR EMERGENCY SERVICE.
Do not use this site to report events presenting an immediate threat to life or property. Reports submitted through this service may not receive an immediate response. If you require emergency assistance, please contact your local authorities.

* Yes - I agree to the Terms and Conditions of making this report.

Please provide information as follows:
( * Required fields )

Organization/Tier:	(Drake University)
Location where incident occurred:	Physical address, branch and/or store number
City:	State/Province:
Zip/Postal Code:
Country:

By filing an anonymous report, there is no way for the University to directly contact or notify you when someone has responded to your report. The University will respond to your report within the EthicsPoint system (this reporting site). You can contact the Call Center at 877-295-7940 or go to the EthicsPoint homepage and click on the tab titled ‘CHECK ON YOUR REPORT.’ Use your Report Key to login and check for replies. We recommend that you check back in a few days so that you do not miss any information.

* Do you wish to remain ANONYMOUS for this report?

Yes No

You have chosen to remain anonymous. If you would like to receive an email when your organization posts follow-up responses to you, you may provide a personal email address. Your email won't be included with your report to your organization, but will be held by NAVEX, subject to NAVEX's Terms and Conditions. Providing an email address isn't required to make a report, but enables NAVEX to notify you by email of updates or follow-ups to your report.

Anonymous Email Address:

If you want (Drake University) to know your identity, please complete the following:

Your Name:


First Name	Last Name

Your Phone Number:

Your Email Address:

Best time for communication with you:

* Relationship to Institution

Report - Discrimination, or Harassment, or Bias

* Please identify the person(s) engaged in this behavior:

Example: John Doe, Manager Campus Bookstore Unknown, Unknown, Night Supervisor

	First Name	Last Name		Title
#1			-
#2			-
#3			-

Do you suspect or know that a supervisor or management is involved?

Yes No Do Not Know / Do Not Wish To Disclose

If yes, then who?

	Any persons mentioned here will be restricted by EthicsPoint from access to this reported information.		<font color="#000000">Example:<br><br>John Doe, Manager Campus Bookstore</font>

Is management aware of this problem?

Yes No Do Not Know / Do Not Wish To Disclose

What is the general nature of this matter?

	This should be a general description only, you will be asked for specifics later.

Where did this incident or violation occur?

	We recognize that this incident may not have occurred in a particular location. However, if this incident was observed in some documentation or business transactions, please indicate this accordingly.

Please provide the specific or approximate time this incident occurred:

Examples: Tuesday, May 3, 2002 Two weeks ago Approximately a month ago

* How long do you think this problem has been going on?

* How did you become aware of this violation?

If other, how?

Please identify any persons who have attempted to conceal this problem and the steps they took to conceal it:

	Please identify by name and title.		<font color="#000000">Examples:<br><br>Ignored it<br>Changed documents<br>Said it was not a problem<br>Said they would look into it</font>

If you have a document or file that supports your report, most common file types can be uploaded:

* Please provide all details regarding the alleged violation, including the locations of witnesses and any other information that could be valuable in the evaluation and ultimate resolution of this situation.

Please take your time and provide as much detail as possible, but exercise care to not provide details that may reveal your identity unless you wish to do so. It may be important to know if you are the only person aware of this situation.

When you submit the report, you will be issued a Report Key. Please write it down and keep it in a safe place. We ask you to use this Report Key along with the password of your choosing to return to EthicsPoint through the website or telephone hotline in 5-6 business days. By returning in 5-6 business days, you will have the opportunity to review any Follow-up Questions or submit more information about this incident.

Please choose a password for this report:
* Password:
* Re-enter Password:
Your passwords must match and be at least four characters long.