Your full name
Note: you may choose to report anonymously.
I am a:
Student
Employee
Contractor or visitor
Another member of the College Community
I would like to:
Report an incident
Obtain information about my options
Learn about on or off campus resources
Have someone contact me
If you are reporting an incident(s), please tell us what you are reporting (please check all that apply).
Sexual assault or abuse
Sexual harassment
Sexualized stalking/following behaviour
Indecent exposure or voyeurism
Cyber sexual harassment (online, texting, distribution of intimate images without your consent, etc.)
Any attempt to threat to commit an act of sexual violence
Something else
Something else? Please explain.
Who is the respondent?*
Langara student
Langara employee
I don't know
Other
*A respondent is the individual(s) against whom an allegation of sexual violence has been made.
Other (respondent)
Did the incident occur on campus?
Yes
No
Both
Contact Information
Please provide your phone number and email address so we can get back to you.
Your phone number
Your Email address
I prefer to be contacted by:
Email
Voice
Text
NOTE: Anonymous reports
You can choose to remain anonymous; however, we can only follow up with you if you provide contact information.