Report an Incident

If you see or experience something that goes against PHAME’s Code of Conduct, or if something happens at PHAME that makes you feel unsafe, please let us know by filling out this form.

We take every report seriously and will carefully look into any concerns you share.

Incident Report Form

Student's Name

First Name

Last Name

Date of Incident

Location of Incident

Description of Incident

It's important to be honest when making a report. False accusations can have serious consequences. Please ensure your concerns are based on facts.

By checking this box you confirm that this information is true to the best of your knowledge.

Did someone help you fill out this form? If so, please list their name and contact information. We may contact them as part of our investigation.

First Name

Last Name

Please list their email here.

Need help?

If you need help filling out the form, you can ask a Campus Coordinator, a family member, or someone else in your life who helps you.

You are also welcome to contact Enrollment & Campus Operations Manager Alex Geffel to schedule a time to fill out the form together. You can reach them at ageffel@phamepdx.org or (503) 764-9718 ext. 18—they can help you fill out the form over the phone.

Report Anonymously

If you are not comfortable sharing your name and contact information with us, you can fill out an Anonymous Incident Report form.