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.
Today's Date *
MM
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School you are associated with *
I'm a *
If a student. What grade are you in? *
What gender do you associate with? *
I am/was a *
Type of bias incident: *
I believe that the bias incident was motivated by: *
Name(s) or description(s) of the person(s) involved. *
Your answer
Describe the bias incident. *
Your answer
Location of the bias incident. *
When did the bias incident occur? *
Your answer
Please click on this link if you have supporting documents that you wish to upload.
How would you like us to follow up? *
Follow up information, if applicable. *
Your answer
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