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Bias Incident Reporting Form


If this is an EMERGENCY situation, call 911 or contact the campus safety officer on duty at 630-637-5911. Do not use this form to report events that present an immediate threat to health or safety.

Background Information

If you have witnessed or experienced a bias-related incident, please use this form to make a report. Any act of intolerance, regardless of severity, can be reported using this form. Once submitted, your report will be reviewed by North Central College.


From the North Central College Student Handbook: “North Central College is committed to maintaining a positive learning, working, social and residential environment. The College does not discriminate or allow harassment on the basis of race, color, religion, ethnicity, national origin, sex, gender identity, gender expression, age, marital status, citizenship, mental or physical disability status, sexual orientation, pregnancy or parenting, order of protection status, military or veteran status, genetic information, unfavorable military discharge (except dishonorable discharges) or any other characteristic protected by law in admission and access to, and treatment and employment in, its educational programs and activities. In pursuit of these goals, the College will not tolerate acts of discrimination, harassment, sexual misconduct and/or retaliation against any administrator, staff, faculty, student, guest, visitor, camper, vendor or subcontractor, as such behavior seriously undermines the College’s effectiveness as an educational institution and a workplace.”

 

Note: Please fill in as much detail as possible. The identifying information below is optional. While you can report an incident anonymously, please understand that we may not be able to thoroughly investigate and address this report with incomplete reporter information.

Email address must be of a valid format.
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Examples: Room 101, Chicago Ave, Email/Phone, Social Media

Involved Parties

If possible, please list the individuals involved (excluding yourself), including as many of the listed fields as you can provide. If the involved individuals are unknown, please list them as unknown, and provide as many details as you can about them in the description of the incident.

Involved party 1

General Concern Information

Nature of Bias (check all that apply):(Required)
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Incident Classification (check all that apply):(Required)
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Who has been informed of the alleged incident? Please check all that apply.
You must make at least one selection.
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If so, what options would you like to discuss? Please check all that apply. More information on the options available can be found here.
You must make at least one selection.

Supporting Documentation

Photos, video, email, and other supporting documents may be attached below with a 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