Reporting a situation: discrimination, harassment and sexual violence at university

This form can be filled out by UCBL1 students and staff.
 

The 3 steps of the report form:

Step 1: characterising your report

 

Pick a category to help us characterise your situation. This means that the most appropriate person(s) to respond to your report can be chosen more quickly.

Step 2: detail your testimony

 

The testimony has no character limit.

Step 3: ask for a confidential meeting

 

Your report is strictly confidential. The coordinator of the listening cell will be in contact with you using the contact details you have provided (email or telephone number).

Who's receiving this report ? How are my personal datas treated ?… Go to the FAQ 
Emergency numbers

Report form

Processing times are currently longer than usual (3 weeks on average). We apologise for the inconvenience.

This form has three main steps, divided into seven questions overall.
Answering time: approx. 10 minutes (can vary depending on the level of detail of the report).

Characterising the situation


You are


If you have reported this situation to another person or another organisation (in or outside the university), you can specify it here.


Pick the closest applicable definition(s) of your situation. You may pick as many as necessary :
 






 

If other, precise subject or behavior...

Your testimony

You are



Detailed testimony
if possible, mention the precise dates and places.


Add a file
You can add a file to your testimony : Images, Word document, PDF etc.


Please indicate your needs and expectations relating to the reporting cell (listening, legal adivce, psychological help, etc).

Finalisation and contact details

Indicate the nature of your report

 

If i chose to testify anonymously I acknowledge that I will not be contacted by the University. I acknowledge that no action (support, legal procedure…) will be implemented.

 

Else I leave my details here to be recontacted :

Contact details
Your name will only be given to the listening cell managers, Marthe Villafagne and Ana?l Jeannin.

Nom :
Prénom :

Degree/university service or department :
Cette donnée nous aide à identifier des environnements à risque



Which way would you prefer to be contacted?
Please provide your email, telephone number, or both.

saisir le code présent dans l'image



 

*Définitions

    • Moral harassment: repeatedly imposing on a person, in a professional or academic context, comments or behaviour that may lead to a deterioration in their living conditions. This results in a deterioration of the victim's physical or mental health.
    • Bullying: repeatedly imposing on a person, in an academic context, comments or behaviour that may lead to a deterioration in their living conditions. This results in a deterioration of the victim's physical or mental health.
    • Sexual harassment: repeatedly imposing on a person, sexist or sexually connoted remarks or actions.
    • Sexist or sexual violence of any kind: any sexually connoted act, committed with violence, coercion, threat, or surprise; and/or all unwanted sexualisation/behaviour that affects the dignity, health or physical integrity of the victims.
    • Discrimination of any kind: the unfavourable treatment of a person, on a ground prohibited by law. There are 27 official discrimination criteria: https://www.service-public.fr/particuliers/vosdroits/F38175?lang=en
    • Discriminatory violence of any kind: a violent incident that the victim, a witness or any other person perceives to be incited by prejudice or bias, intolerance or hatred, whether or not it constitutes an offence or crime under the Penal Code.