Form to report violence (harassment and assault) and discrimination at ENS de Lyon

This form is intended for anyone who wishes to report harassment, assault or discrimination that has taken place at the ENS de Lyon.

The 3 steps of the form:
1. Give us the characteristics of your report to guide our response. 2. Write your report. The report has no character limit. You can attach a file directly if you have already typed out your report on word processing software, or if you have other documents that support your report. 3. Request an interview with Florence Françon (equality and non-discrimination officer), Natacha Portier, Philippe Daubias (equality advisors) and Anne Zegza (work psychologist). They will contact you by email. You can also remain anonymous, which means that you will not be contacted by the equality and non-discrimination service. Please, be aware that we need an email contact to have the opportunity to give an answer to your report. You can use any email address of your choice (without your name, for example).
Characterisation
Have you already reported the events in question?

Have you already reported the events in question? Yes, to the ENS de Lyon Yes, to the police No Yes, to another establishment (please specify which one:)
Choose the category or categories that best fit the events in question:

Choose the category or categories that best fit the events in question: Discrimination Sexual or sexist harassment or assault Moral harassment Work organisational issues Other kind of interpersonal conflicts Other

You may find the legal definitions online to help you to define the situation: http://www.ens-lyon.fr/en/about-us/our-commitments/fight-against-discrimination-and-violence/process
Report
How many times has this happened?

How many times has this happened? Once Twice Three times More No answer
Detailed report:
Attach a file

Attach Files
Indicate what actions you expect and what support you need:
Finalisation
Indicate the nature of your report:

Indicate the nature of your report: I want to have the possibility of being contacted confidentially by Florence Françon, Natacha Portier, Philippe Daubias (the equality and non-discrimination office) and Anne Zegza (work psychologist). I want my report to be anonymous. I therefore agree not to be contacted by ENS de Lyon again.

In accordance with the RGPD law, the ENS de Lyon commits to comply with the current applicable regulations regarding personal data processing.
To learn more: http://www.ens-lyon.fr/en/about-site/legal-notice
Last name and first name:
You are:

You are: auditeur / auditrice doctorant·e / PhD student normalien·ne élève normalien·ne étudiant·e personnel / employee ENS de Lyon Other (please specify:) Other (please specify:)
Your departement / service:
Your email address:
By sending this form and clicking the option “I agree”, I hereby consent to the processing of my given personal data by Florence Françon, Anne Zegza, Natacha Portier and Philippe Daubias in order to process my report.

By sending this form and clicking the option “I agree”, I hereby consent to the processing of my given personal data by Florence Françon, Anne Zegza, Natacha Portier and Philippe Daubias in order to process my report. I agree

In accordance with the RGPD law, the ENS de Lyon commits to comply with the current applicable regulations regarding personal data processing.
To learn more: http://www.ens-lyon.fr/en/about-site/legal-notice

Form to report violence (harassment and assault) and discrimination at ENS de Lyon

Form to report violence (harassment and assault) and discrimination at ENS de Lyon

Characterisation

Report

Finalisation