Incident Report
This form is provided as a part of the Anti-Racism, Anti-Oppression Hotline.  The purpose of the Anti-Racism Anti-Oppression Hotline is to report RACIAL INCIDENTS that can be expressed in the form of, unfair treatment, injustice, and or discrimination.
Увійдіть в обліковий запис Google, щоб зберегти надані відповіді. Докладніше
Full Name *
Pronouns
Скасувати вибір
Phone # *
Email *
Terms and Condition

IPRA Guidelines
*
The ARAO Hotline follows the Inspection of Public Records Act (IPRA) and Family Educational Rights and Privacy Act (FERPA). Please click on the links below to get additional information. 
Обов’язково
Do we have consent to share your email with the school principal and district superintendent to research the incident?   *
In order for the Anti-Racism, Anti-Oppression Hotline to conduct research on a reported incident, we must have your consent to share all the information provided with appropriate school personnel. 
Relationship with the person involved in incident *
Ethnic Background *
Обов’язково
School Type *
School Environment *
Обов’язково
Reason for Call *
Обов’язково
Далі
Очистити форму
Ніколи не вказуйте паролі в Google Формах.
Компанія Google не створювала цей вміст і не підтримує його. Повідомити про порушення - Умови використання - Політика конфіденційності