Misconduct Reporting Form

Group of three students walking outside High Wycombe campus

Misconduct Reporting Form

This form is intended for BNU students and staff to report incidents of non-academic misconduct involving BNU students.

BNU Partner students may also use this form to report incidents of harassment or sexual misconduct directly to the University. All other types of misconduct should be reported through the partner institution’s own misconduct or disciplinary procedures.

Note: Anonymous reports or third party reports cannot be submitted through this form. If you wish to report anonymously, please use the platform and select the ‘Tell us anonymously’ option. You can also access support via the platform.

For more information on how the University handles anonymous reports, please refer to paragraph 54 of the Student Conduct Procedure.

Completing this form

Read the Student Conduct Procedure (and the Student Prevention of Harassment and Sexual Misconduct as applicable)
Please complete all sections fully with as much detail as possible.
Be clear and concise in describing your incidents
Let us know if you have any evidence to support the report

If you need procedural advice or have questions, you can contact the Resolution Team: Resolution@bnu.ac.uk

You can also contact the Students’ Union Advice Centre for support, or for assistance completing the form: SUAdvice@bnu.ac.uk

What happens next?

You will receive confirmation from the Resolution Team that the Misconduct Incident Report Form has been received.

Upon review of this Misconduct Reporting form, you may be asked for more information or invited to discuss the incident. You will be advised of next steps.

Where appropriate, prior to proceeding with formal action, the University may seek to resolve the matter through an Early Resolution Intervention. You may be asked whether you are amenable to this approach. If deemed suitable, an Early Resolution Invention will normally be completed within 10 working days of receiving this form.

Please include as much detail as possible when completing the form.

Section 1: Your Details (the Reporting Party)

Are you a student or a staff member?

BNU Taught Student

BNU Partner Student

Staff Member

Full Name

Student ID Number

Contact Email Address

Preferred Pronouns (e.g. she/her, he/him, they/them, other)

Course leader name (if known)

Personal tutor name (if known)

Do you have a disability, long-term health condition, or specific learning difference that may require reasonable adjustments to engage with the conduct process?

Yes

Prefer not to say

Are you registered with the University Disability Service?

Yes

Prefer not to say

If yes to either question, please describe any reasonable adjustments you require during the conduct procedure

Disability Advisor Name (if applicable)

Have you attempted early resolution regarding this incident? Early resolution may include informal steps such as speaking directly with the individual involved, seeking advice from a tutor, a member of staff, or the Student Hub

Yes

If yes, please provide details of any attempts to resolve the issue informally: Who did you speak to about this incident (please include their name and role, if known), when did the conversation take place, and what was the outcome? Please provide as much detail as possible to help us understand the context of your early resolution attempt.

In what capacity are you reporting this incident or behaviour? Please select the option that best describes your situation

I am reporting an incident I personally experienced

I am reporting an incident I witnessed

I am reporting on behalf of someone else (with their knowledge and consent)

Student Name(s) Required & Identification Number(s) (if known)

Please provide the full name(s) and student ID(s) (if known) for other students being reported. Note: This section is for listing additional students you are reporting in relation to an alleged breach under the Procedure. If you need to include details of other students for any other reason, please include that information in the section outlining the allegation(s)

Date and Time (if known)

Location of Incident (e.g. campus building, online platform, accommodation, off-campus location)

Have you reported this elsewhere?

Yes - to the Police

Yes - to a University staff member (please specify name)

Yes - to a Students' Union staff member (please specify name)

Other (please specify)

Further details

Incident details

Supporting evidence

This section is optional. Please describe any outcomes or action you would like the University to consider in response to this report (e.g. support, no contact arrangement, apology)

Would you like a member of the Student Hub to contact you for support?

Yes

If you select ‘Yes’, we will share your contact details with colleagues in the Student Hub team so they can get in touch with you directly. Additionally, the University may contact relevant support services on your behalf if we believe it is necessary to help safeguard your wellbeing or safety.

In addition to University services, you can also access free, confidential support through external platforms:

– A 24/7 online mental health support service available to all BNU students. You can access support anonymously, connect with others, and use self-help tools to manage your wellbeing.

You do not need a referral to use Togetherall. Simply register with your BNU email address to get started.

��Ӱ��

Misconduct Reporting Form

Misconduct Reporting Form

Section 2: Early Resolution

Section 3: Your role and the Reported Student(s)

Section 4: Details of the Incident

Please select the category or categories that best describes the incident (detail under Appendix 1 and 2 of the Student Conduct Procedures)

Section 5: Supporting evidence

Section 6: Preferred Outcome or Action

Section 7: Support

Section 8: Declaration

����Ӱ��

Misconduct Reporting Form

Misconduct Reporting Form

��Ӱ��