Confidential Racial Equity Form
This form is to report incidents of racial abuse against students and staff, particularly BIPOC students and staff, share information, submit complaints and provide confidential or anonymous feedback to the District regarding experiences on our campuses or within our District. This form is monitored during regular business hours, M-F, 7:30-5pm. This form is not monitored 24 hours a day. If you have an emergency and need immediate assistance, please call 911.
Please fill in the information requested below, to the best of your ability, and click the blue SUBMIT button when you are finished. This information will be received confidentially by the District’s Superintendent, Dr. Tara Taupier and Assistant Superintendent, Wes Cedros. You may contact either confidentially via email or phone:
or phone (415) 945-1012
Tara Taupier -
or by phone at (415) 945-1020
Once we receive your confidential report, we will start an investigation and contact you, if you have requested to be contacted and if you have provided your contact information in the form below. If you have chosen not to provide your identity or contact information, we will review the information you submitted and determine the available next steps in order to address the matter.
Your submission will be stored in a password protected system only accessible by the 2 District employees listed above.
Sign in to Google
to save your progress.
Are you a
What would you like to share/report
If reporting an incident, if comfortable doing so, please provide the date of incident
If reporting an incident, if comfortable doing so, please provide the location of the incident.
What outcome would you like to see occur?
Would you like to be contacted by a District employee?
If you answered yes, above, please provide the best way for us to reach you.
Never submit passwords through Google Forms.
This form was created inside of Tamalpais Union High School District.