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Bias, Discrimination, and/or Harassment


Please use this form to report an incident or concern of bias, discrimination or harassment that you believe to be based on actual or perceived race, ethnicity, national origin, citizenship status, religion, sex, sexual orientation, gender identity and expression, physical or mental disability, age, veteran or military status, marital status, or other legally protected category.
You may submit this report anonymously if you do not wish to provide a name or other identifying information. However, please note that the nature of anonymous reports makes investigation, determination, and remediation more difficult and, at times, impossible. As a result, you are encouraged to provide your name and contact information. If you provide your name and contact information, a Colgate administrator may contact you to follow up on your report.

Incident Information

Report of an incident or concern regarding bias, discrimination or harassment.

 
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Involved Parties

Please list the individuals involved (including yourself), providing as much information as you are willing and able to share. You are not required to provide the names of the individuals involved, but if names are not included it limits the university's ability to take responsive action. Filing an anonymous report ensures that information is recorded in the event the reporting party decides to file a complaint at a later date, and also assists the university in compiling accurate crime statistics. Note: A "Bystander" is an individual who witnesses or learns of an incident, but is not directly impacted as a victim of this incident.

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Questions

Please answer all questions to the best of your knowledge.

Please indicate the protected status(es) that is/are the basis of the alleged behavior. Check all that apply.(Required)
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To your knowledge, has anyone previously reported this incident to another department or office (for example: Campus Safety, Residential Life, Student Conduct, etc.)?
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What is your desired outcome as a result of filing this form?
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Supporting Documentation

If you have supporting documentation that you would like to include with your submission, please attach it here. This may include any or all of the following: Photos, video, email, and other supporting documents. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission