Loyola University Maryland

Report Bias

Report Bias Form

Report Bias

Your Information

If you would like to remain anonymous, please note so in the "Name" field.

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Individuals Involved

Please list names, gender (if known), and role in incident of all persons involved. You may also indicate if a student organization is involved in the incident, using the “gender” field.

(If known, ID#, phone, e-mail, address, etc.)
(If known, ID#, phone, e-mail, address, etc.)
(If known, ID#, phone, e-mail, address, etc.)
(If known, ID#, phone, e-mail, address, etc.)
Incident Details
(If available, please provide specific location details such as building name, floor number, etc.)
Type of Incident (Check all that apply.):

















Type of Bias (Check all that apply.):













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