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Bias and Discrimination Reporting Form


This form is for reporting incidents of bias, discrimination, and discriminatory harassment. Please note that this form is for non-emergency situations only.

FOR EMERGENCIES DIAL 911

TO REPORT CRIMINAL ACTIVITY TO SU's DEPARTMENT OF PUBLIC SAFETY PLEASE CALL 540-678-4444


Please know that Shenandoah University will investigate all bias and discriminatory incidents. We will evaluate your report promptly; however, the timeline and manner in which the university addresses the report will vary depending on the information provided.
The reporting form is not a punitive measure but rather an opportunity for development and education.

Shenandoah University takes the reports made through this site seriously. Please remember that all information contained within this report may become part of the university's administrative record and may be available to the students to which they pertain under The Family Educational Rights and Privacy Act (FERPA). In making your report, please be professional, accurate, and factual. Recitations of observations and facts are more useful than characterizations or labels.

Information obtained through these reports will assist Shenandoah University in responding to and tracking incidents of bias, discrimination, and discriminatory harassment. Reports will be evaluated to determine if further investigation is required for potential violations of university policy and/or criminal law. If an incident does not rise to this level, the university may still respond with the goal of putting learning and safety at the forefront and providing support to the individual or community impacted.

Background Information

Please note that this form can be submitted anonymously. If you wish to remain anonymous put N/A for the sections asking for your phone number and email.

 
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Please select who was involved in the situation.
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Involved Parties

Please include in this section the individual(s) who were impacted or could be impacted by the bias/discriminatory behavior. Please also include the individual(s) who committed the bias/discriminatory behavior.

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Questions

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Was this incident reported to any other campus employee or department?(Required)
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This bias incident targets (please select all that apply):(Required)
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Type of Incident (please select all that apply):(Required)
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How would you prefer to receive a follow-up, if necessary?(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