Bias Incident Report

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The Bias Incident Report will be sent to the Deputy Chief Diversity Officer (DCDO) for review. The DCDO will review the incident and

Name (if you feel like sharing)

Email Address (if you feel like sharing)

If provided, do you wish your name and email shared with the DEIC?

Yes

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Please describe the Bias Incident. Information here will be shared with the DEIC. Please be as explicit as you feel comfortable with. The more information allows the DEIC to have a fuller picture and allows them to come up with a better proposed solution. *

Do you wish to have the Deputy Chief Diversity Officer follow-up with you after the DEIC meets about your report to discuss what the outcome suggestions are? (Please remember to provide that information above) *

Yes

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