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Bias Incident Reporting Form


This form is for reporting incidents of bias or intolerance. Once submitted it goes directly to the University's Bias Response Team. Information obtained through these reports will assist Marquette in responding to and tracking incidents of bias and intolerance. If you prefer to report an incident in person, please use the following website for a list of reporting options: https://www.marquette.edu/student-affairs/bias-incidents.php.

Marquette University takes seriously bias incidents and will investigate such incidents. Additional resources and information is available online at: https://www.marquette.edu/student-affairs/bias-incidents.php.

Incidents that are not bias related should not be reported using this form. Please call MUPD, speak with residence hall staff, contact Student Conduct in the Office of Student Development, or refer to the University Grievance policy for information on where to report unrelated incidents or concerns.

All fields on this form must be completed.

You, as the reporting party, will be contact by a member of the Bias Incident Response Team within three days of receiving this report.

Background Information

 
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Please indicate whether you are faculty, staff, student, alumni, or not affiliated with Marquette
Email address must be of a valid format.
This field is required.
This field is required.
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i.e. lobby, specific floor and/or room

Involved Parties

Include names of any known victim(s), perpetrator(s), and any witnesses.

Involved party 1

Questions

What issues best categorize this bias incident? Discrimination on the basis of:(Required)
You must make at least one selection.
This field is required.
Was this incident reported to any other campus agency or department? If yes, please indicate where in the Incident Description section above.(Required)
This field is required.
Do you know who did this? If yes, please indicate who as the perpetrator(s) in the Involved Parties section above.(Required)
This field is required.
This field is required.
Do you wish to be contact regarding this incident? (If you are submitting the report on behalf of another individual, do they wish to be contacted regarding this incident?)(Required)
This field is required.

Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. Maximum 12 megabytes per file Attachments require time to upload, so please be patient after you click to submit this report. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission