The following form is for a student or a member of staff to report an incident of sexual harassment or violence to the university. You can choose to report anonymously or with contact details.
Students and Staff:
If a student or staff member wishes to report a case of sexual harassment or violence to the University but does not wish to be identified, or have the University proceed with any formal investigation. This allows the University to monitor issues and have greater awareness around the scale of sexual violence for QMU students and staff. In this way more work can be done on prevention and support strategies.
Students:
If a student would like to report a case of sexual harassment or violence to the University. Details will be passed onto University Student Services in the first instance. A member of staff will contact the student to discuss what support is available.
Staff:
If a staff member would like to report a case of sexual harassment or violence to the University. Details will be passed on to Human Resources in the first instance. HR will contact the member of staff to discuss what support might be available and what action might be taken.
--please select-- Myself Someone Else
--please select-- Student Staff
Sexual Harassment
Sexual Violence
Relationship Abuse
Stalking
Unsure
Other (please specify)
NOTE – no formal action can be taken to verify these details unless a report is made and you provide us with contact details.
Under 18
18-24
25-34
35-44
45-54
Over 55
Male
Female
Non-binary
Prefer not to say
Tick all that apply
Refer to Support Service*
Request University Action**
*Student services will contact you to discuss support needs and a suitable support plan
**Student services will contact you to discuss the process for University action. This may be formal disciplinary action or informal intervention as appropriate.
*HR will contact you to discuss support needs and a suitable support plan
**HR will contact you to discuss the process for University action. This may be formal action or informal intervention as appropriate.
Note – This report will remain confidential, and the information will only be used to put you in contact with a member staff to offer guidance and support. This does not initiate a formal complaint. If you have requested action, a member of staff will outline the processes. We will not disclose any other personal information unless there is a threat to a person’s safety
By submitting this report you are giving us permission to process your personal data specifically for the purposes identified. Where we are asking for sensitive personal data we will always tell you why and how the information will be used and you may withdraw consent at any time. You can view the QMU Privacy Statement here
Name*
Email*
Phone number*
Staff/Student number*
Sexual harassment is unwanted and unwelcome words, conduct, or behaviour of a sexual nature that has the purpose of intimidating, embarrassing, being hostile, degrading or humiliating the recipient.
Sexual violence is any unwanted sexual act or activity. Many different kinds of sexual violence including but not limited to rape, sexual assault, child sexual abuse and sexual harassment. Sexual violence can be psychological and/or physical.
Relationship Abuse can be any incident or pattern of incidents of controlling, coercive, threatening behaviour, violence or abuse between those aged 16 or over who are, or have been, intimate partners or family members. This can include ‘honour’-based violence and forced marriage.
Stalking is unwanted, repeated, obsessive and/or controlling behaviours that make someone distressed or scared. There are many ways stalking can be perpetrated; it is most likely to be someone the recipient already knows well such as an ex-partner.
The definitions are not exhaustive and do not cover all forms of harassment and sexual violence. You can visit the following page for information on definitions https://www.qmu.ac.uk/study-here/student-services/sexual-harassment-and-violence/what-is-sexual-violence/