WMU Office of LBGT Student Services - Bias Reporting Form

If you believe that you have been the target of, or witnessed, any incident that is contrary to the policies of Western Michigan University and the mission of the Office of LBGT Student Services, please complete this form so that we can more adequately track these sorts of incidents. All submissions are confidential. You are not required to list your contact information, but this enables us to follow up with you regarding the incident.
* Required

Thank you for completing this incident report. We understand that this is a difficult time and it is not always easy to talk about such events or incidents. We appreciate your willingness to complete this report enabling Western Michigan University and the Office of LBGT Student Services to more adequately track these occurrences on our campus. If you provided your contact information, you will be contacted soon. If this is an emergency, please contact WMU Public Safety at (269) 387-5555. For crisis services, please call Gryphon Place at (269) 381-1510.

Never submit passwords through Google Forms.