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Bias Incident Report


Binghamton University is committed to fostering a safe, welcoming and inclusive campus community for all; in turn it is the responsibility of each person within the Binghamton University community to join in creating an environment in which others can thrive without fear of hate, bias or discrimination.

We are committed to addressing incidents of hate or bias on our campus, and appreciate your help in bringing these incidents to our attention. Individuals who have been the targets of, and/or who witness, a hate, bias or discrimination incident may use this form. For us to best be able to respond, please include as much information as possible. If this is an emergency situation that requires immediate medical or emergency services, call the Binghamton University Police at 911 from a campus phone or 607-777-2222 from a mobile phone.

If you wish to be contacted, include your name and preferred contact information. Anonymous reports are accepted, but could possibly limit the ability of the University to fully address the incident reported. Your confidentiality and trust is very important to us. In certain circumstances involving safety or criminal action, we may not be able to guarantee complete anonymity. Matters are generally handled discretely and in conformity with University privacy policies, and information will only be shared with campus individuals with a legitimate need to know. The University also has strong anti-retaliation policies that protect individuals who report incidents.

All reports are viewed by the Affirmative Action Officer with consultation from the Bias Incident Response Team.

Background Information

Binghamton offers a Student Conflict and Dispute Management Program as an alternative to filing a complaint. For more information about the program, visit the website for more information.

 
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Involved Parties

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Questions

Confidentiality Statement

Binghamton University Division of Diversity, Equity and Inclusion will make every effort to maintain confidentiality except in situations where law, University policy or the investigatory process requires the release of information. DEI will not release information without informing you.

Prohibition against Retaliation

Retaliation against an individual who files a complaint and/or participates in an investigation is strictly prohibited, and may result in disciplinary action.

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Your Pronouns:(Required)
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Race/Ethnicity - Check as many as apply: (The following questions are optional; complete as relevant to you)
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Your Gender:
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Would you describe yourself as transgender?
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Type of Incident (Check all that apply)(Required)
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Nature of Bias (Check all that apply)(Required)
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Have you worked with another university office in addressing this issue? (in the description)(Required)
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Were the Police notified?(Required)
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What service(s) and/or individuals have been notified about the incident? (ex. Ombudsperson, University Counseling Center, CARE Team, Residential Life, etc.)
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By completing this Bias Incident Report, I would like the following to occur (please check your preferences, you may select more than one
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If indicating phone follow-up, Is it safe for us to leave a message on your phone?
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Supporting Documentation

Please provide any supporting documents. Photos, video, email, and other supporting documents may be attached below. 5GB maximum total size. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission