End Racism Reporting Page

EndRacism Reporting Form

Which school did this happen at?

What is your report about?

On what date did the incident take place? (If you don't remember specific dates, select the month in which the incident occurred)

Where did the incident take place?

What is/are the name(s) of the person(s) involved? (student, teacher, administrator, colleague, board member, school staff, parent, etc.)

What is your role in the school system

What is your ethnic or cultural origin(s)?

Please describe your story/situation. Be as specific and detailed as possible.

Did anyone else witness this?

Yes

Untitled

Have you reported this to anyone else?

Yes

Untitled

Do you want to leave your name and contact info?

Yes

Name

First

Last

Phone

Would you like to be contacted about your story?

Yes

Do you have any images, videos or screenshots that may help with your report? If so, please upload any supporting documents.

Drop files here or

Max. file size: 64 MB.

“Do not attach intimate images or content. One file only per upload. 2 MB limit. Allowed types: png gif jpg jpeg mp4 mov

Together, we can all work towards preventing racism and creating positive change.

For more information, refer to