BIAS INCIDENT REPORT
A bias incident refers to behavior that is hostile, harassing, intimidating, offensive or discriminatory based on actual or perceived protected classes such as race/ethnicity, religion, gender and/or disability. Please complete this form if you have been a victim or have witnessed a bias incident that needs to be reported to the School District of Cudahy.
School you are associated with
Cudahy High School
Cudahy Middle School
School Staff Member
If a student. What grade are you in?
Not a Student
What gender do you associate with?
I am/was a
Type of bias incident:
Bullying (Social Media)
I believe that the bias incident was motivated by:
Name(s) or description(s) of the person(s) involved.
Describe the bias incident.
Location of the bias incident.
When did the bias incident occur?
Please click on this link if you have supporting documents that you wish to upload.
How would you like us to follow up?
I would like to be contacted. Please note: Name and contact information needs to be provided below
I do not want to be contacted. I would like the report to be utilized by the district solely for informational purposes
Follow up information, if applicable.
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This form was created inside of School District of Cudahy.