Email

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●People who can consult/report

【Mandatory】Your department　　Undergraduate student / Graduate student / Faculty member / Staff member / Family of the student-faculty member / Graduates(including withdrawals),retirees / Others

【Mandatory】Affiliation name
　*In the case of an undergraduate, a postgrad, please input a department or a graduate course and the school year. If you are a faculty member, please enter your affiliation.

【Mandatory】Notification to university(compliance promotion office)　　　 Anonymously / Using real name (Name:　　　)
　*If you would like to be supported by a university, in principle, please consult with your real name. In the case of anonymity, the response by the university is general and the effectiveness cannot be guaranteed.

【Mandatory】Disclosure of your name to the external contact 　　　 Anonymously / Using real name (Name:　　　)

【Mandatory】Share consultation statement contents with relevant departments or faculty you belong to　　　Allow / Do not allow
　*In order to resolve issues, please tell us if it is okay to share your name and the consultation report contents that you reported to the Compliance Promotion Office with the relevant departments, as well as the faculty and graduate course you belong to, and if it is okay to ask them to consider handling the issue.

〇Contact Information
Please enter your email address so that we can send you a notification of acceptance.
【Mandatory】Email address
*You will automatically receive a notification that your application has been accepted.
*If you are using a domain-specified receiving system,please enable your account to accept messages from "@list.waseda.jp"”@dmsig.jp.nec.com" in advance.

The University (compliance promotion office, relevant departments, faculty you belong to, etc.) might, as necessary, contact you at the contact information you have provided, in order to ask more details about your consultation.
【Mandatory】Contact Information　　　E-mail / Do not enter

<If you prefer to send us an email>
We will contact you at the email address you entered above.
*If you wish to consult anonymously, please enter an email other than the Waseda domain email.

If you wish to receive a reply or correspondence within 2 days after your consultation (except for university holidays, including Saturdays, Sundays and national holidays), please indicate so in the remarks column.
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●What happened?
（We will report what you entered directly to the university）

〇Types of our services
【Mandatory】Content of consultation　*Please choose one of the following:
　Problems with your classes or student life
　Research wrongdoing: Improper actions taken during research activities
　Harassment
　Public interest report
　Other: Opinions / complaints / except for the above

【Precautions】If the consultation content does not correspond to the selected content, it may be treated as the applicable report / consultation type.

If you have selected "harassment,” depending on the contents of your consultation or notification, if compliance promotion office judges that it is appropriate for the Harassment Prevention Committee to handle the matter, they will contact the person who made the notification or consultation, and ask the person who consulted about the details of the situation and their intentions.

〇What do you wish to file a report or consult about?
Please tell us about the problem by giving a detailed description of ‘What happened’ and ‘Who did it.’

【Optional】Occurrence time

【Optional】Occurrence place

【Optional】Recognition time

【Mandatory】Details of whistleblowing / consultation

【Mandatory】Request to the university

【Mandatory】Recognition of the surroundings　　　Yes / No

【Mandatory】Evidence　　　Yes / No
*The evidence will be submitted to the university as it is.
*If you wish to remain anonymous, please make sure that your information is not included.

〇Who did that?
【Optional】Actor classifications　　　Undergraduate student / Graduate student / Faculty member / Staff member / Family of the student-faculty member / Graduates(including withdrawals),retirees / Others

【Optional】Affiliation name
*In the case of an undergraduate, a postgrad, please input a department or a graduate course and the school year.
If you are a faculty member, please enter your affiliation.

【Optional】Name

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