Museum Bias Reporting Form
Thank you for choosing to report bias during your recent experience at a museum. Please be as specific as possible, your report may be used (anonymously) in future advocacy and training efforts.

Sign in to Google to save your progress. Learn more
Section 1: Report Information

First Name

Last Name

Email Address

Confirm Email Address

Telephone Number

Your Zip/Postal Code

*
This information will help us when processing data.
Section 2: Museum and Exhibit Details
Please provide the details below so your report can be recorded properly.

Name of Museum

*

Location (City/State)

*

Date of Visit

*

Name of Exhibit (if applicable)

Name of Guide/Staff Member (if applicable)

Section 3: Description of Bias Concern
Please provide details about the bias you observed, including specific statements, exhibit descriptions, or interactions that raised concern.

Type of Bias (Check all that apply

*
Required

Detailed Description of the Concern:

*

Supporting Evidence (Optional)

Section 4: Suggested Corrections or Improvements
We welcome your suggestions.

How do you believe the museum could improve or address this concern?

Section 5: Follow-Up Preference
Please let us know if you would like for one of our team members to follow-up with you.
Would you like a response regarding this report? *
Section 6: Agreement and Submission
Please complete the following agreements, thank you.
Submission Agreement *
By submitting this form, I confirm that the information provided is accurate to the best of my knowledge. I understand that this report will be reviewed and catalogued for future use by ministry staff and may be used to enhance exhibits, for public engagement, or for other similar use.
Required
Cookie Consent Notice *
This site uses cookies to offer you a better browsing experience. Learn more about how The International Association for Creation uses cookies by reviewing our Privacy Policy, along with our Cookie Policy therein (READ PRIVACY POLICY HERE: https://associationforcreation.org/index.php/privacy-policy/).
Required
Age Verification Process *
By submitting this form you verify that you are the age of majority within your jurisdiction (US: 18 years of age; EU: 16 years of age); if you are a minor, under the aforementioned age of consent, by agreeing, your parent or legal guardian is acknowledging that they have reviewed our Privacy Policy (READ PRIVACY POLICY HERE: https://associationforcreation.org/index.php/privacy-policy/) and consents to the collection and process of personal data contained herein.
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of International Association For Creation, Inc..