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Respect NU:
Hate & Bias Report Form


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

Students who have been the targets of, or who witness, a hate or bias incident may use this online form to make the University aware of these incidents. In addition, hate or bias incidents may be reported through other reporting options outlined on the Respect NU webpage.

If this is an EMERGENCY situation, CALL 911 or contact the Northwestern Police Department at 847-491-3456. Do not use this form to report events that present an immediate threat to health or safety.

When reporting hate or bias incidents through this form, please also note the following:

  • Your confidentiality and trust is very important to us. We will make every effort to respect your privacy. Please be aware, however, in certain circumstances involving safety or criminal action, we may not be able to guarantee complete anonymity. Regardless of the situations, matters are generally handled discretely and in conformity with University privacy policies, and information about individuals or situations will only be shared with individuals with a legitimate need to know. The University also has strong anti-retaliation policies that protect individuals who report incidents or cooperate in an investigation.

  • Anyone reporting an incident through this portal should provide either a phone number or an e-mail address so that we may contact you if there is a need for clarification or if additional questions or concerns arise. Also, if you want to receive a copy of your report, you will need to enter an email address in the top section.

  • Students may also contact on-call campus medical and psychological professionals 24-hours a day by calling 847-491-8100 (Student Health) or 847-491-2151 (Counseling and Psychological Services).

If you have any questions about filing or completing a report, please contact Lesley-Ann Brown, the Director of Campus Inclusion & Community at 847-467-3419 or inclusion@northwestern.edu.

Your Information

 
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Involved Parties

Please list the individuals involved (including yourself, if appropriate or if you choose) and provide as much information in the listed fields as you can. For non-students, please list an SSN or Drivers License number (if known) in the block labeled NUID Number. Witnesses should also be identified here.



If the name/identity of a person is unknown to you, please enter "Unknown Person" as the name in this section and then describe the individual(s) in as much detail as possible below in your narrative. This could include the person's age, sex, physical appearance/characteristics (height, weight, skin tone, hair color/texture, eye color, facial hair, etc.) as well as a description of their clothing, accessories, and any distinguishing features or characteristics. You should also identify any known affiliations (school they attend, organization they might belong to, etc.).

Involved party 1

Questions

NATURE OF THE ALLEGED BIAS: Please check all the categories below that describe this incident. We also strongly encourage you to fully describe, in the narrative section below, all the details of the incident, including the reasons you believe the incident was motivated by bias.(Required)
You must make at least one selection.
NATURE OF THE INCIDENT: Again, please check all types of conduct involved in this incident. Please also be sure to fully describe the incident in the section below.(Required)
You must make at least one selection.
This field is required.
UNIVERSITY FOLLOW UP: Please indicate whether you would like a member of the Bias Incident Response Team to contact you for further follow up.(Required)
You must make at least one selection.
This field is required.

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.

Who should receive a copy of this report?

All reports are automatically forwarded to the Director of Campus Inclusion and Community and the Vice President for Student Affairs. If you would like this report sent to any other University offices or officials, expand this section and select those you wish to receive a copy of your report.
All reports are automatically forwarded to the Director of Campus Inclusion and Community and the Vice President for Student Affairs. If you would like this report sent to any other University offices or officials, expand this section and select those you wish to receive a copy of your report.

Submission