UW EQUALITY WEBSITE > Application form about mobbing Application form about mobbing 1.Data of the reporting person First name and last name E-mail Affiliation (max. 150 characters) Sexwomanmannon-binary personnot listed aboveI prefer not to answer 2. Connection with the University of Warsaw studentPhD studentresearcher, scientific personnel or academic staffadministrationother (maks. 150 characters) 3. What the event or series of events is the subject of undesirable behaviours (any unethical, violent or otherwise unacceptable behaviour experienced by the University of Warsaw employee, PhD student or student which refers in particular to competences, position in the team, personal sphere or health)I'm not sure/other (maks. 350 characters) mobbing (any behaviour resulting in or aimed at humiliating or ridiculing, isolating or eliminating a person from a given team or group, consisting of persistent and long-lasting harassment or intimidation, causing a lower assessment of professional or academic usefulness)undesirable behaviours (any unethical, violent or otherwise unacceptable behaviour experienced by the University of Warsaw employee, PhD student or student which refers in particular to competences, position in the team, personal sphere or health)I'm not sure/other (maks. 350 characters) 4. Description of the incident(s) (maks. 2500 znaków) 5. Where the incident/the last in a series of incidents took place (multiple selection possible) at the University of Warsaw (e.g. lecture hall, library, canteen, laboratory, PE hall, toilet)during a trip related to work/study at the UWoutside the University of Warsaw - in a place not related to work and studies at the UWin a virtual space, including an online meetingin none of the above places Where? (maks. 350 characters) at the University of Warsaw (e.g. lecture hall, library, canteen, laboratory, PE hall, toilet)in a student dormitory belonging to the UWduring a trip related to work/study at the UWoutside the University of Warsaw - in a place not related to work and studies at the UWin a virtual space, including an online meetingin none of the above places Where? (maks. 350 characters) 6. When the incident/the last in a series of incidents took place less than a year ago - until todaya year ago - until three years agomore than three years ago 7. Was anyone present during the incident? noI don't know/I don't remember/I prefer not to answeryes Who? (max. 350 characters) 8. Do you have evidence documenting the incident (recordings, photos, e-mails) noI don't remember/I don't knowyes (max. 500 characters, general description of what it is, at this stage, without attaching evidence - for information purposes only) 9. Has the incident been reported to any institution/unit yet? noyes UW internal unit: Academic OmbudsmanEquality Team of the University of WarsawAnti-unequal treatment and discrimination Commission/ Anti-mobbing and other undesirable behaviours CommissionOffice for Persons with DisabilitiesPsychological and Counselling Services Centre (CPP)Centre for Conflict and Dispute Resolution at the Faculty of Law and AdministrationAcademic Legal CounsellingEquality Plenipotentiaries at facultiesStudents’ CouncilStudent Ombudsman Team/Consultation Team on sexual harassment by Student Ombudsman Teamother What? (max. 350 characters) unit from outside the University of Warsaw: NGOs (foundation or association - e.g. PTPA – Polish Society of Anti-Discrimination Law, Feminoteka - foundation helping women experiencing violence Association for Legal Intervention)Public Prosecutor's OfficePoliceother What ? (max. 350 characters) other (max. 350 characters) Information about the processing of personal data
