EthicsPoint

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

Please provide information as follows:
( * Required fields )

Organization/Tier:	Buckingham Browne & Nichols School
Location where incident occurred:	Physical address, branch and/or store number
City:	State/Province:
Zip/Postal Code:
Country:

* Do you wish to remain ANONYMOUS for this report?

Yes No

If you want Buckingham Browne & Nichols School 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 - Inappropriate Sexual Behavior or Contact

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

Example:

John Doe, Upper School math teacher

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

What is the general nature of this matter?

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

Where did the inappropriate sexual behavior or contact occur?

When did the inappropriate sexual behavior or contact occur?

Examples:

Tuesday, May 3, 2002
Approximately 15 years ago

* How did you become aware of this situation?

If other, how?

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

* Please provide all details regarding the inappropriate sexual behavior or contact, 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 3-4 business days. By returning in 3-4 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.