DEEA Safety Tipline

1
Dance Education Equity Association (DEEA) makes every effort to provide support to folks who have experienced racism, othering (discrimination), and sexual/physical/emotional abuse. Once an inquiry is received DEEA will do everything in its power to provide the appropriate resources and support for each person who completes this form. All information is provided on an “as is” basis without any representation or warranty as to accuracy, completeness, legality, or fitness for any particular purpose. Anyone using this information does so at their own risk, and shall not hold Dance Education Equity Association, or its staff, agents or volunteers liable for any claims or damages, all of which are hereby disclaimed. Though our team is comprised of support from mental health professionals this support from DEEA is not intended to be a substitute for personal professional medical advice, diagnosis, or treatment. For an accurate diagnosis of a mental health disorder, you should_ _seek an evaluation from a qualified mental health professional in your community. If you are feeling suicidal, thinking about hurting yourself, or are concerned that someone you know may be in danger of hurting themselves, call the National Suicide Prevention Lifeline at 1-800-273-TALK(8255) or the Suicide Hotline: 1-800-SUICIDE (1-800-784-2433), both of which are staffed by certified crisis response professionals, or call 911.
I acceptI don’t accept
2
Hello, what's your name?Optional (you are welcome to report anonymously)
3
Email Address * This field is required.
example@example.com
4
Please list your phone number so someone from our team can contact you? * This field is required.
Country Code
Area Code
Phone Number
5
Please provide the name and age of the person who has experienced abuse. * This field is required.Optional (can report anonymously if needed)
6
Please choose the type of harm the person above has experienced. * This field is required.For child abuse specifically: state laws define what constitutes as child abuse or neglect. To view the definitions provided by the U.S. Department of Health and Human Services and better identify the type of abuse(s) experienced [please click here](https://www.childwelfare.gov/pubPDFs/define.pdf).
Emotional Abuse
Inequitable Work Environment or Unsafe Work Conditions
Othering (Discrimination)
Physical Intimidation or Abuse
Racism
Sexual Abuse
Other
7
If you checked off "Other" please share the details here.
8
Could you share with us which competition, convention, studio, or performing arts organization in which this abuse occurred (or started of as a result of your association with this organization) and the faculty or staff member's name who has allegedly\* caused this abuse?* This field is required.\*Please note that must use the term "allegedly" for legal purposes. We apologize in advance if this term is triggering and please know we believe all survivors.
9
Please list the city and date below. If this abuse occurred in multiple cities and states please list them below.
10
To the best of your ability and at your own level of comfortability could you explain what happened?* This field is required.We know that explaining this trauma may be triggering. If you would like a trained mental health professional to personally call you to hear your disclosure please leave a note below and someone from our team will reach out to you.
11
What type of support are you seeking?
Mental Health Support
Legal Support
Resources and Tools
Other
12
If you selected "Other" could you please explain what additional support you would like below?
13
Have you experienced any of the following symptoms since this incident or incidents of abuse?* This field is required.
Depression
Suicidal Thoughts
Changes in Sleep Patterns
Changes in Appetite
Hyper vigilance (Constantly feeling frightened or in imminent danger)
Other
14
If you selected "Other" could you explain these symptoms below?
15
Our goal at DEEA is to advocate for survivors and repair harm caused without causing more harm. With our support, what would you like to see happen as the result of you reporting this harm to DEEA? * This field is required.
Should be Empty: