Ombudsperson Report Form

Ombudsperson Report

First Name *

Last Name *

Email Address (Penn State Access ID - like afb11@psu.edu - no aliases) *

Enter Email

Confirm Email Address (Penn State Access ID - like afb11@psu.edu - no aliases) *

Confirm Email

College Campus *

Check One *

Ombudsperson

Alternate Ombudsperson

1. How long have you served as your unit's ombudsperson or alternate? (Please give dates - i.e. 2014-2019) *

2. How many cases have you been asked to help resolve in the past year? *

3. For each case, what were the key issues (e.g., lack of communication, promotion and tenure, harassment, incivility, performance review, etc.)? *

4. What was the position of the person against whom the complaint was lodged (e.g., staff, faculty, administrator, if other, explain)? *

5. What steps were taken to resolve the issue? *

6. To your knowledge, how many cases were resolved informally with your help? *

7. How many cases were referred to the Senate Committee on Faculty Rights and Responsibilities or other offices (e.g., Affirmative Action, Human Resources, etc.) *

8. Were you aware of situations in which a colleague could have consulted an ombuds but went straight to another resource (e.g., Affirmative Action, Human Resources, etc.)? If so, please explain *

9. In your role as a college/campus ombudsperson did any issues arise that should be addressed by the University Faculty Senate? If so, please explain *

10. How many cases with which you were involved were referred to the University Faculty Senate Ombudspersons? (Optional: Please explain the reason for the decision to refer the case to the UFSO.)

11. Are there any suggestions you would like to make that could be useful to another ombudsperson, especially a new one? Are there additional meetings (beyond the fall orientation) that you would like to have with other unit ombuds during the academic year? *

Please provide the names of your unit’s ombudsperson and alternate for the upcoming academic year. *

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