Hispanic Student Association Incident Report
The purpose of this form is to provide our members with an avenue in which to bring concerns or uncomfortable situations to the attention of our President and Chief of Staff and if permitted by the member, our Executive Board.

This form may be used to report occurrences involving other general body members, cabinet members, or campus partners. The health and safety of our members is our top priority, always.

Responses to this form will be seen EXCLUSIVELY by the President and Chief of Staff unless otherwise indicated below that the member would be willing to have the incident also brought to the attention of the Executive Board or Diversity & Inclusion Director.

The Hispanic Student Association strives to create and maintain a supportive environment for each of its members whilst following both the UF Student Code of Conduct and the official Hispanic Student Association Constitution and Bylaws.
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First Name *
Last Name *
Please describe the situation you would like to report (you may be as detailed or as vague as you choose )
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