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Bias Incident Reporting Form


Please notify Loyola University Police Department (504-865-3434) if there is an immediate risk to life or property.



This report form is for the use of current students, faculty, staff as well as Loyola University New Orleans community members. Please provide detailed information regarding the bias incident you are referring to. A bias incident is an act of discrimination, harassment, intimidation, violence, or criminal offense committed against any person, group, or property that appears to be intentional and motivated by prejudice or bias. Bias incidents are usually associated with negative feelings and beliefs with respect to others' race, ethnicity, national origin, religion, gender, gender identity, sexual orientation, age social class, political affiliation, disability, veteran status, club affiliation, or organizational membership. For more information, please visit Diversity and Inclusion at Loyola.

Once the form is received, a member of the Bias Incident Response Team will review the information and take appropriate action, which may or may not include contacting the student, you, and any others you have identified. If you have any questions related to completing a Bias Incident Report Form, please contact name (phone #) or name (phone #).

BIAS INCIDENT RESPONSE TEAM


The Bias Incident Response Team exists to support the well-being of our students, create safe spaces for students to report and express concerns, and develop and enforce policy related to bias incidents that occur on and off-campus. Bias Incident Response Team members work in different areas throughout the University and are available to assist students seeking support from a biased incident. Members of the response team may work directly with affected individuals as well as others in the affected community to develop an appropriate response and provide recommendations for the resolution of the biased incident. Members of the team include representatives from:

1. Student Affairs
2. Student Life and Ministry
3. Residential Life
4. Loyola University Police Department
5. University Counseling Center
6. Mission and Identity
7. Office of Equity and Inclusion

Background Information

 
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Involved Parties

If you know the names of any person involved in this incident and feel safe disclosing, please do so below. There is an option to add multiple individuals' information.

Involved party 1

Questions

Type of Incident (Check all that apply)(Required)
You must make at least one selection.
Nature of Bias (Check all that apply)(Required)
You must make at least one selection.
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Would you like a member of the Bias Incident Response Team to follow up with you?(Required)
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How would you like us to follow up with you?(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