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Anti-Harassment and Discrimination Reporting Form
Name (this is optional)
Your email (optional, you can report anonymously. However, please share a non-identifying email address if you would like to hear back from us.)
Name and description of the aggressor. (Describe the person if you don't know their name).
Who was the target of the aggression, harassment, or abuse?
I was the target
Someone else was the target
Where did the incident occur?
In person at a Web of Change conference
At a Web of Change event (other than flagship)
On the listserv
On social media
Description of the incident(s), including frequency and the feelings it caused you (or the person who was harassed).
Anything else you want to share with us.
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