NRPS Bias Incident Report Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Student Experience Vision Statement: All students in North Reading will feel welcome, safe, and valued for who they are and supported to reach their potential as global citizens. Students will feel personally connected to their learning experiences and will feel represented inside and outside of the classroom ensuring a sense of belonging.

That being said, we understand experience and education to greatly impact student understanding and growth. Many times microaggressions or other experiences may negatively impact a student or experience. A bias incident is conduct, speech, or expression motivated, in whole or in part, by bias or prejudice. Through awareness and education we hope to continuously improve our practices and the culture and climate of our learning environments to ensure all students feel connected and a sense of belonging in our classrooms, schools, and community.

I want to report an incident of racism or bias which I have experienced or witnessed which involves a member of the North Reading Public Schools, including staff, volunteers or students.

The school primarily involved in this is incident (please check one):

North Reading High School

North Reading Middle School

E.E. Little School

J.T. Hood School

L.D. Batchelder School

North Reading Public Schools

Your Information:

I am a staff member and understand that I cannot make an anonymous report or an allegation of suspicion of bullying or civil rights discrimination against a student.

I prefer to complete the form anonymously and not include my name in this report. I understand that an anonymous report will limit the investigation process.

I will include my name below and I am willing to discuss the incident confidentially with a designated NRPS official.

Name/Email/Phone Number

Communication Preference

contact to schedule an in-person meeting

Telephone/Google Meet

Email communication

Please list all involved parties, alleged aggressors, targets, and witnesses Please be as specific as possible:

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of North Reading Public Schools. Report Abuse

Forms