Hazing or Organizational Misconduct Form | Baptist Health Sciences University

Please use this form to report actions or situations that recklessly or intentionally endanger mental or physical health, or create substantial embarrassment, harassment or ridicule, or involve the forced consumption of food, alcohol or drugs in the course of initiation or continuing affiliation with an organization.

You may submit this report anonymously if you do not wish to provide a name or other identifying information. Please note that although Baptist Health Sciences University (BHSU) endeavors to investigate all reports, including anonymous reports, the nature of anonymous reports makes investigation, determination, and remediation more difficult and, at times, impossible. As a result, you are encouraged to provide your name and contact information. If you provide your name and contact information, a BHSU administrator may contact you to follow up on your report.

Background Information

Your full Name:

Your phone number:

Your email address:

Date of incident(Required):

Time of incident:

Specific location:

Involved Parties:

Name of Organization or Individual:

Name of Witnesses:

Description/Narrative

Please describe the incident/concern. Please be as specific as possible. Include things such as location, frame of mind, and observed behaviors.

If you have a desired outcome, please include details here.

Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. 5GB maximum total size.

Attachments require time to upload, so please be patient after submitting this form.

Attach documentation:

One file only.
128 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, ppt, pptx, xls, xlsx, jpg, mp4, wmv.