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Bias Incident Report


Please provide as much information as you are comfortable sharing. Anonymous reports may cause the College to have limited capabilities in responding.

Background Information

Please complete the following background information. If you would like to remain anonymous, you do not have to provide any identifying information, however, this may limit our ability to address your concerns. Items with a red asterisk are required fields.

 
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Involved Parties

Please provide as much information as you can about the parties involved in the incident.

Involved party 1

Questions

Please indicate the type of bias/discrimination/harassment you are reporting (check all that apply):(Required)
You must make at least one selection.
Please indicate the nature of the incident you are reporting (check all that apply):(Required)
You must make at least one selection.
If one of the following crimes occurred where a victim was intentionally selected because of their actual or perceived race, gender, religion, sexual orientation, gender identity, ethnicity, national origin, or disability, please make the appropriate selection. If none of the specific crimes occurred, please select "not applicable."(Required)
You must make at least one selection.
This field is required.
To the best of your knowledge, were any of the following offices notified of the incident (check all that apply)?
You must make at least one selection.
Was the incident reported to a specific individual/office?
You must make at least one selection.
This field is required.
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Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. Maximum 12 megabytes per file. Attachments require time to upload, so please be patient after you click to submit this report. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission