Have You Been Told To Go Back To Your Country?
* Required
Email address
*
Your email
Name
*
Your answer
Email
*
Your answer
Phone number
Your answer
Your contact information will remain private to members of the Documenting Hate coalition. We won't share it without your permission
This was ...
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Something that happened to me
Something that happened to someone I know
Something I witnessed
Something I saw online
How many people were targeted?
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Choose
1
2
3
4
5+
Describe what happened.
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Your answer
What city did this happen in?
*
Your answer
Province
*
Choose
NL
PE
NS
NB
QC
ON
MB
SK
AB
BC
YT
NT
NU
Postal code
Your answer
Date of the incident
Date
Which of these most closely describes the incident?
*
Hate speech
Vandalism / Property damage
Physical assault
Threats / Intimidation
Robbery / Burglary / Theft
Other:
Required
Where did this incident occur?
*
School (K-12)
University / College
Place of worship
Online
Street / Highway
Public park
Public transit
Private residence
Government Office / Facility
Business
Other:
Required
Do you suspect the offender(s) targeted you / this person because of...
*
Race
Ethnicity or national origin
Religion
Disability
Gender
Sexual orientation
Gender identity
Immigrant or Immigration status
Other:
Required
What is the gender of the victim?
Choose
Male
Female
Transgender or gender nonconforming
Prefer not to say
What race or ethnicity does the victim identify with?
Your answer
Has someone reported this to the police?
Yes
No
I don't know
Clear selection
Do you have a supporting link (to an article, tweet, instagram post, etc)?
Your answer
If you have a photo, video or police report from the incident, please email it to
samantha.beattie@huffpost.com
.
Your answer
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