You have chosen to report with contact details. This means someone in the University can respond and if required take action.

This report will remain confidential and the information contained in it will only be passed on to relevant and specifically trained staff members on a strictly need to know basis. We will not disclose any personal or identifiable information to others unless we believe there is a genuine threat to a person’s health and safety.

By choosing this option you are indicating that you would like a response; this may include the organisation taking action where required. You can request within the form to speak to someone about the support and resolution options available to you.

By submitting this form, you agree to the use of your personal information as detailed in the Privacy Notice.

If you would prefer not to provide this information using this method, you can fill in the anonymous form, contact a number of internal student and staff support services or access external support services as detailed on the support pages.

Provide dates, times and locations, if possible. If as a result of this report you would like Bath Spa to take formal action we recommend you fill in the report with contact details.

The following questions are optional. We monitor reports by these equality groups to inform our future work. For example, we might want to know how many women students have made a report in the last 6 months. Your contact details will never be reported against the equality monitoring information.

The Equality Act 2010 describes a disabled person as:

"…anyone who has a physical, sensory or mental impairment, which has a substantial and long term adverse effect on their ability to carry out normal day-to-day activities."

Do you consider yourself to be disabled within the definition of the Equality Act 2010?

Please tick all that apply

By submitting this form you agree to the use of your personal information.