Webform Indicates required field Name Pronouns Please share the pronouns you'd like the Bias Response Team to use to refer to you. Pronouns are the part of speech used to refer to someone in the third person. Examples include she/her/hers, they/them/theirs, and he/him/his. Email Phone Date of Incident Location of Incident Description of Incident How would you like to be contacted? - Select -EmailPhoneText Have you spoken to anyone about this incident? Yes No How did it go? Do you currently feel safe? Yes No Would you like a member of the BIAS Team to follow up with you? Yes No Which member of the BIAS Team would you like to reach out to you? Monica Grau (Vice President for Student Affairs and Chief Diversity Officer) Julia Rizzo (Director Individual Studies) Joanna Baker (Director of Student Services, MAC) Lesley Owens-Pelton (Director of Accessibility Services) Elizabeth Ackman (Director of Residence Life) Paul Field (Chief of Police) Todd Kleinhans (Assistant Athletic Director) Toyia Sims (Affirmative Action Officer) Loona Richmond (Senior Web Developer) Shannon Wiley (Coordinator of Office of Rights and Responsibilities) Corey Hayes (Associate Professor) Leave this field blank Contact Diversity, Equity & Inclusivity Location Helyar Hall Phone 315.684.6981
