Your confidentiality is very important and every effort will be made to protect your privacy. Anonymity cannot be guaranteed in cases involving the safety of the community, those warranting criminal action and some violation of college policies. The form does allow for anonymous reporting, however, the college’s ability to respond to incidents of bias and to prevent recurrence may be limited with anonymous complaints.

Your affiliation to Goucher *
Do you want to be contacted by CCET? If so, please provide your contact information above. *
Your status to incident *
Time of incident *

Individuals Involved

Status in incident *
Affiliation to Goucher *

Incident Information

Below are categories that correspond to the types of bias incidents. Check all the apply.
Type of incident *
Type of bias (perceived or confirmed) *