S.H.A.R.E - Mount Allison

Harassment Information | Policies & Procedures | FAQ | Contacts & Resources | Student Health Centre

S.H.A.R.E

To submit a form online, your email address will be requested. All form submissions are confidential and you will not be contacted unless you request it on the form. If you would prefer to submit an anonymous report, you may download the pdf version and drop or send it via campus mail to SHARE, Student Health Centre, 15 Salem Street.

Confidential Report Form

Share logo graphic. Call 540-7427 for help.

If this is an emergency call 911

This form enables all members of the Mount A Community to report incidents or crimes sexual harassment, sexual assault, discrimination, hate crimes, assault and other violations of University Policies or criminal acts. Anyone can report by completing the form below. SHARE will review forms sent electronically and collaborate with Campus Security and the Dean of Students to determine a best response to each report.

Confidential Reporting is not intended for emergencies. Reports of emergencies should always be directed to RCMP by calling 911, or Campus Security at 364-2228 or 364-2452
This is a serious incident-reporting service, and all reports will be investigated.
Please do not report issues and disputes related to roommates or residence life. These should be addressed with assistance from your Don or RA.

In the event you are a WITNESS to a Crime or Incident or have information related to a crime or incident and you wish to report it please complete the following information:

All submissions are confidential, name and email are required for the online form, download a pdf file to submit anonymously.
Contact Information

Please contact me regarding this matter		Yes No

Name:		Email:

Phone:		Residence:

Incident information
Date of Incident:		Time of Incident:

Location of Incident:	on campus

	in a residence - please specify Name and room # of residence:

	off campus - please specify Address:

Type of Incident:	Sexual Assault Assault Harassment (including stalking) Discrimination Hate Crime Relationship Violence Violence Threats Vandalism, Graffiti, Theft Suicidal Behaviour or Threats

Describe the incident in the space provided below:


How did you find out about this incident:
	Eye Witness Personal Knowledge other - please specify

Suspect information (if known)

Name:		Gender: Male Female

Student:	Yes No

Physical description:


Address		Phone	Email