Bias Reporting Form

Wilson College, through its Honor Principle and Values, is committed to providing a safe and inclusive environment. Students, faculty, and staff play an essential role in ensuring our campus is free of bias, harassment, intimidation, and hate. If you have been the target of a bias incident (or have witnessed a bias incident) please report it using the form below.

What is your affiliation with Wilson College?

Date of the incident

Time of the incident

Location of incident

What was the exact or general location of the incident? If you do not know the exact location, please describe the surrounding buildings or area.

What was your association with the incident?

Description of the incident

Please tell us everything else you know or can recall about this incident and how this occurred. If you feel comfortable, please include information about who was involved. Please provide as much information as you can. If you don’t know names of those involved, providing descriptive information is helpful.

Do you have supporting documents to upload?

Yes

Upload audio file

One file only.
100 MB limit.
Allowed types: mp3, ogg, wav.

Upload document

One file only.
100 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

Upload image

One file only.
100 MB limit.
Allowed types: gif, jpg, jpeg, png.

Upload video

One file only.
100 MB limit.
Allowed types: avi, mov, mp4, ogg, wav, webm.

Have you reported this incident to anyone?

Yes

Who did you report to?

What was the response?

Are you satisfied with the response?

Yes

Would you like someone to contact you? (If Yes, please enter your contact info below)*

Yes

Name

Email address