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Bias Response Team

File a Report

We encourage you to report this incident to all other appropriate parties (e.g. campus police, Housing and Residential Life) in addition to filing this report with the Bias Response Team.

A "FOR INFORMATION ONLY" report helps the BRT stay informed about campus climate. If a "FOR INFORMATION" report is filed, the information goes into our database. If you want more anonymity, simply leave your name and contact information off the form.

A "FOR ACTION" report means that the BRT will make every attempt to contact the reporter. The BRT can also provide possible solutions to help. If desired, we can assign an advocate to help the reporter through whatever process they choose to pursue.

Incident Information
For Information Only
For Action

(mm/dd/yyyy)
(specify am/pm)

On Campus
Off Campus

(Dorm, Restaurant, etc.)

Verbal Assault
Physical Assault
Threat of Physical Assault
Fear of Safety
Written Slur
Phone Harassment
Sexual Harassment
Property Damage
Pursuit / Chase
Threat of "outing"
Email or internet messages
Stalking
Public indecency / Exposing one's genitals
Sexual Assault
Other


Race
Gender Identity or Expression
Sexual Orientation
Ethnicity
Religion
Age
Color
Creed
National Origin
Ability
Other:
Person Harassing
Man
Woman
Transgender
Unknown
Not Listed:

URI Student
URI Faculty
URI Staff
Non-URI Student
Unknown
Not Listed:

African-American / Black
Asian American / Pacific Islander
European-American / Caucasian
Native American / Alaskan American / First Nation
Other:

Lesbian
Gay
Bisexual
Pansexual
Asexual
Straight
Other
Unknown
Person Being Harassed
Man
Woman
Transgender
Unknown
Not Listed:

URI Student
URI Faculty
URI Staff
Non-URI Student
Unknown
Other:

African-American / Black
Asian American / Pacific Islander
European-American / Caucasian
Native American / Alaskan American / First Nation
Other:

Lesbian
Gay
Bisexual
Pansexual
Asexual
Straight
Other
Unknown
Person Completing Form
Target of behavior
Witness to the incident
Friend of the target
Family member
Partner
Agency or staff person
Incident Status
Yes
No
If yes, what was the response/action and were you satisfied with their actions?
If no, what were the reasons for not reporting?

Yes
No
If yes, to whom? What was their response? Were you satisfied?
If no, what were the reasons for not reporting?
Contact Information (Optional)

You may choose to state your name or be anonymous. If you would like the Bias Response Team to help you explore options, look at alternative ways to deal with and resolve the situation, or advocate on your behalf, please leave your information so we may contact you. The report will be reviewed and followed-up with even if the reporter remains anonymous.