This form may be completed to share an experience involving identity-based harm (bias, micro-aggressions, structural oppression).

It is helpful for us to know how people from specific communities are impacted by interpersonal hurts and harm related to their social identities. Sharing the following information with us, helps us keep track of which communities are most affected and what the nature of those harms is, while also keeping your experience private. 

(Drupal users: To protect your anonymity, please log out of the system before filling out the form.)

My Experience Involves Behavior Targeted At:
My Experience Happened
Your Role at the College (Optional)
Student Type
Faculty Type
If you would like a staff member of the Social Justice Center to connect with you so you can share more about your experience, please let us know the best way to reach you.