Student Report of Incidents of Threats, Hate & Bias
This is a safe online reporting platform for Birmingham Public Schools students to document incidents of threats,  hate and bias in our schools or at school-related events. Hate and bias hurts and should never be part of the Birmingham Public Schools experience. Our goal is to keep all students emotionally and physically safe.

Incidents of threats, hate and bias can often create an unsafe environment, therefore all reports and information shared on this site will be taken seriously and thoroughly investigated. During the investigation, your identity and contact information will remain private to the aggressor(s) and only available to Birmingham Public Schools administrators. In addition to reporting hate and bias incidents using this system, please report incidents to your school principal.

Depending on the nature of the incident, law enforcement may also be contacted. For hate or bias incidents that present an imminent threat, please consider using http://www.michigan.gov/ok2say/ or call 911.  

This Google form questionnaire was adapted from the https://projects.propublica.org/graphics/hatecrimes website to document incidents of hate.

Sign in to Google to save your progress. Learn more
Name (Optional)
Contact Requested *
Phone Number (Optional)
The incident of hate & bias related to a BPS student or on BPS school grounds: *
I identify my race or identity as *
I attend *
How many BPS students were targeted or victims? *
Describe what happened. *
Date of Incident *
MM
/
DD
/
YYYY
Which of the descriptions below most closely matches the incident that occurred? *
What is the primary reason that you believe you or someone else was targeted? *
Was this incident reported to *
Thank you very much for reporting this incident.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Birmingham Public Schools. Report Abuse
Google Forms