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This form allows you to share incidents of unwanted behaviours anonymously; including concerns of bullying, harassment, discrimination, victimisation, and/or sexual misconduct where the person(s) involved are a member of the university community, including a student, member of staff, a visitor or contractor.
Important Information
You don’t need to provide your name or contact details, and we won’t be able to contact you directly.
We understand that speaking up can be difficult, and you can share only what you feel comfortable with. If you later decide you'd like to talk to someone or access further support, you can complete a named report using our online reporting form or you can also report in person should you choose by speaking with one of our trained Dignity at Study Champions.
The Dignity at Study Champions are based within the university’s student Wellbeing Service, The Life Lounge, Chancellors Building, Eagle Tower, T2. You can call in Monday-Friday 8:45am-5pm (excluding bank holidays)
Please remember:
Taking part in this process is entirely your choice. You can change your mind and withdraw from it at any time. however, once submitted, a copy of your anonymous report will be kept on file in accordance with Data Protection Act 1998 (DPA) and from 25 May 2018 with the General Data Protection Regulation (Regulation (EU) 2016/679) (GDPR).
If you or someone you know have experienced unwanted behaviours from others outside of the university community, you can find out more information about the support available to you, including external services and resources via our Student Safety webpage here: https://www.bolton.ac.uk/student-area/student-safety
Privacy Notice
This form is anonymous. We do not collect your name, contact details, or any information that could directly identify you.
The demographic questions included are optional. Your answers will only be used anonymously to help the University improve support and promote equality, diversity, and inclusion.
No individual can be identified from your responses.
All reports are reviewed by the Dignity at Study Policy Coordinator and/or Dignity at Study Champions and used to monitor reporting trends, improve policies and inclusive practice, and inform preventative work.
For more information, please refer to our University Privacy Notice.
For more information, please refer to our University Privacy Notice.
Report an Incident Form
Section 1 - About you
*Indicates a response is required
Please select the option that best describes you
Please select the option that best describes you
Please select all relevant options
Please check anyone.
Please select the option that best describes you
The following questions are optional, and help us better understand who is affected by unwanted behaviours, so we can develop better more inclusive support, and address any inequalities.
Section 2 - About the Incident
The following questions are designed to help us understand the type of unwanted behaviour(s) or incident you are reporting.
Please answer as accurately as you can. If you are unsure about any details, simply choose the option that best reflects your experience or that of the person you’re reporting on behalf of. All responses are anonymous and help us monitor and improve safety and support across the university.
If there have been a series of similar incidents, choose the timeframe of the most recent incident.
Please select all that apply
Please check anyone.
Please select all that apply
Please check anyone.
*Type of concern
Please select any options that you feel are relevant to your experience, or to the experience of the person you are reporting on behalf of. The unwanted behaviours may have occurred in person, in writing or through any online platform
Please check anyone.
Please select any of the options below that apply. If you are unsure, that’s ok, please tick the ‘I am unsure’ option below or leave the section blank.
Please check anyone.
By submitting this form anonymously, you acknowledge that the University will not be able to investigate the incident, offer follow-up contact, or provide direct support or advice
We understand that speaking up can be difficult, and we want to assure you that your report has been received and will be taken seriously. Your wellbeing is important to us, and we are committed to creating a safe, respectful, and supportive environment for all students.
If you’ve submitted this report anonymously, you can still choose to speak to someone later or access further support. If you've provided your details, a member of our team may contact you to discuss next steps, with sensitivity and care.
You are not alone — support is here when you're ready.
The Dignity at Study Champions are based within the university’s student Wellbeing Service, The Life Lounge, Chancellors Building, Eagle Tower, T2. You can call in Monday-Friday 8:45am-5pm (excluding bank holidays)