Reporting an incident

Did you experience objectionable or inappropriate behavior at a recent TSoM milonga?

This form is for reporting any concerns, issues or incidents at a TSoM sponsored event.

No action will be taken without your consent.

Please consider including your name and contact information so that we can follow up with you. You may choose to submit this form anonymously, but doing so will limit our ability to follow up and to take action based on the information you provide.

All reports submitted using this form are confidential, and only the Code of Behavior Incident Team of three TSoM board members will have access to this information.

TSoM Incident Report Form

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Person Reporting Incident *

First

Last

Date of incident

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Location of Incident *

Please describe the event in detail *

We would like to follow up with you regarding this incident. Which is the best method to contact you?

• Phone
• Email
• In person (tell us how we can set up an appointment)
• No contact required
• Other

Other contact method:

Email

Phone

How should we contact you to make an appointment?

Which of the following options are you comfortable with? *

• Members of the Code of Behavior Incident Team to have a conversation with those involved to discuss behavioral adjustments and ways to resolve the concern.
• Members of the Code of Behavior Incident Team being present and supporting you while you talk with those involved.
• Members of the Code of Behavior Incident Team being on the lookout for a recurrence of the issue and ready to address it when it is observed.
• I prefer no action be taken.
• Other:

Suggest another option:

Thank you for taking the time to bring this issue to our attention. Please add any additional information.

Submit