JCU Bias Incident Reporting Form

This is NOT for 911 or Emergency Service. Do not use this form to report events that present an immediate threat. If you require emergency assistance, please call Campus Safety Services at 216.397.1234 or 911.

Any intentional misuse of the John Carroll University Bias Reporting System to cause harm to another person or group is subject to review under the auspices of our Community Standards, codes of conduct, and/or other policies.

Your Information

Name * First Last

If other, please specify:

Email

Incident Details

Date of Incident *

Enter as MM/DD/YY or enter the approximate time frame if the incident is ongoing.

Time of Incident

Enter as HH:MM (AM/PM) or enter the approximate time of day if not known (morning, afternoon, evening)

If other, please enter specific location:

Describe Incident *

Please describe what happened in as much detail as possible. Suggested details to include, but are not limited to, witness names, specific locations etc. If you have additional documentation of your report such as photographs, screenshots, or emails, please forward all such files in an email to diversity@jcu.edu and reference the date of your bias report in the subject line.

Please share what outcome you hope will result from this report. *

While the University administration will make the final decision about the appropriate resolution of your report, it would be helpful to us to know how you think this would be best be resolved. Please note that if you file an anonymous report, we have no way of informing you when we have taken action on your report. If you wish to stay informed about the resolution process, please select "Identified" or "Private" instead.

Please note that the completion of this form does not replicate or replace existing processes to review and resolve complaints made on the basis of bias. Please see this page for details of the bias reporting response process.

A Note on Confidentiality
All bias reports will be handled with concern for the privacy of those filing reports and those who are alleged to be offenders. However, the bias reporting system is NOT a confidential reporting option.

Confidential reporting options are reports made to individuals who, because of their professional status, are prohibited by law from revealing a reporting person’s identity or facts of a conversation, unless an imminent threat to the individual or others exists. JCU has a number of confidential reporting sources available to members of the University community, including the University Counseling Services, the University Health Service, priests engaged in pastoral counseling, or the licensed providers available through the University’s employee assistance program. If you wish to make a confidential report, please report the issue to a confidential reporting option. These confidential reporting options can discuss with you options available to you for reporting in a non-confidential manner, such as the Bias Reporting System, if you wish to do so.

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