Hate Incident Reporting Form

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Hate Incident Reporting Form

The purpose of this confidential reporting form is to monitor the occurrence of hate or bias incidents both on and off campus. Hate or bias incidents are acts that are motivated by hatred based on gender, race, religion, sexual orientation, or disability.

If you or someone you know has been a victim of a hate crime or bias incident, you are encouraged to complete this form. The identity of the victim(s) will be kept confidential. Completing this form will not necessarily result in college action or referral for criminal action. However, the type of incident and/or the victim’s willingness to take further action will determine if additional steps will be taken.

Incidents of hate and/or bias are taken seriously at Western Technical College. Every person at Western has the right to a safe learning environment. The college will address behaviors of intolerance. Completing this form is an important step to help us understand our campus environment and how we can create a climate where everyone feels welcome.

Victims or witnesses of hate incidents should complete this form. You may fill out as much or as little information as you choose; however, in an effort for the college to respond appropriately, it is important to include as much information as possible. Please list your name and contact information if you wish to be contacted for a follow-up. If you are under 18 years of age and do not want to make an official report, do not include your name on this form.

You may also contact the Student Life Office (608-785-9445) or Security (608-785-9191) directly for help.

Click the link below to begin filling out the form.

Hate Incident Reporting Form