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Bias and Hate Reporting Form


Keene State College values diversity as foundational to our community, educational and employment opportunities. These values are intimately connected with our priorities of equity, access, civility, and respect.

The purpose of this form is to report incidents of bias or hate crimes experienced, or witnessed, by a member of the College community, occurring on or off-campus.

A bias incident involves actions committed against or directed toward a person or property that are motivated, in whole or in part, by a bias against race, color, religion, sex, sexual orientation, gender identity or expression, national or ethnic origin, age, disability, or other protected classes as required by law.

Members of the College community who have been the targets of, or who witness a bias incident are encouraged to submit a report using this online form. Reports will be reviewed by Jeff Maher, Program Manager, in a timely manner. Follow-up, referral, and other measures will be assessed and coordinated after a review of report details and any other available information.

Please note this form is not monitored 24/7. If there is an immediate risk to health or safety please contact Campus Safety at 603-358-2228 or Keene Police at 603-357-9813 or 911.

Background Information

 
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(student/faculty/staff/community member/other)
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If date is unknown, please select today's date
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Individuals Involved

If you know information about the individuals involved please enter their information here:

Involved party 1

Questions

What type of bias are you reporting (select all that apply)?(Required)
You must make at least one selection.
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Would you like to be contacted in order to receive an update or provide additional information?(Required)
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Supporting Documentation

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

Submission