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Bias & Discrimination Report (Anonymous)

This Reporting Form is NOT a 911 or Emergency Service: Do not use this site to report events presenting an immediate threat to life or property. Reports submitted through this service may not receive an immediate response. If you require emergency assistance, please contact Cheyney University Police at 610.399.2405 or dial 911. The University will use the information provided to begin an investigation, which may include contacting the reporting party, responding party, and/or any potential witnesses. However, if the report does not contain specific information, the investigation and ability to respond may be limited.

Background Information

Please complete the following items to the best of your ability. Providing more information will improve the University's ability to appropriately respond to your report. If you are a third-party reporter who is not the person experiencing discrimination or harassment, include their name and contact information in the involved parties section below.
Your Full Name
Address
MM slash DD slash YYYY
Approximate Time of Incident
:

Involved Parties

Name

Questions

Nature of Discrimination (select all that apply)(Required)

Supportive Documentation

Photos, video, email, and other supporting documents may be attached below. 5GB maximum total size. Attachments require time to upload, so please be patient after submitting this form.
Max. file size: 50 MB.