Report a Concern

Report a Concern
If this is a medical emergency or police matter, please call 911 and ensure everyone's safety before completing this form.

Instructions
Phi Sigma Pi aims to protect the submitter's confidentiality whenever possible. A report may not be completed anonymously, as this restricts the organization from completing a thorough inquiry/investigation.

Please fill out all applicable fields, providing as much information as possible. This will allow the organization an opportunity to offer the most effective, appropriate support. Thank you for taking the time to report your concern.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Campus/Chapter Involved*
Relationship to Phi Sigma Pi*

Alumni MemberStudent MemberInitiate MemberRoommate/Peer/FriendFamily MemberUniversity PartnerOther
Nature of concern:*
To the best of your knowledge, the incident:*

has already occurred.is upcoming.is being discussed but not finalized.is an ongoing concern.
Date and location of the concern/incident:*
on-campus, off-campus, etc.
Please describe the concern.*
Include as much information as possible.
Names of those involved (if known)*
"Unknown" if unknown
Please upload any supporting documents (photos, videos, emails, screenshots).

Cancelof
Should be Empty: