AACC Bias Incident Reporting Form
Please fill out the following to the best of your ability regarding the incident you witnessed. Your responses will get submitted to the IDEAL office at Anne Arundel Community College.
1. Date of Incident
MM
/
DD
/
YYYY
2. Time of incident
Time
:
3. Location of incident
Your answer
4. Description of incident
Your answer
5. Did this incident take place on the AACC College campus?
6. Do you want to be contacted regarding this report?
If yes, please provide your contact information below, including name, phone number, and e-mail address
Your answer
7. Please indicate your affiliation with AACC:
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