Public CARE Report

If you believe you have witnessed, or that you have been a target of, a hate-or-bias motivated incident on campus or while participating in a University-sponsored activity, you may bring the incident to the attention of the Hate-Bias Response Team.

A copy of the campus Hate/Bias Incident Policy can be found in the UCSC Student Policies and Regulations Handbook, and is located on the web at: www.deanofstudents.ucsc.edu/student-conduct/student-handbook.html.
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Hate/Bias Reporting Form

To All UC Santa Cruz Students:

If you believe you have witnessed, or that you have been a target of, a hate-or-bias motivated incident on campus or while participating in a University-sponsored activity, you may bring the incident to the attention of the Hate-Bias Response Team.

A copy of the campus Hate/Bias Incident Policy can be found in the UCSC Student Policies and Regulations Handbook, and is located on the web at: www.deanofstudents.ucsc.edu/student-conduct/student-handbook.html.

Please describe the incident as specifically as you can. Include date, time, and location. If you do not know the identity of the person(s) who were involved in the incident, provide as accurate a physical description as possible, or the names of any witnesses involved.

Should you choose to report anonymously, please note that the Hate-Bias Response Team may not be able to take action. Should we not be able to take action, this does not mean that your report goes unnoticed, but rather is documented should any further reports come in regarding a similar incident. It is your right to remain anonymous and the Hate-Bias Team understands the need for anonymity.

The Associate Vice Chancellor for Colleges, Housing and Educational Services and the Dean of Students are available to provide support to members of the UCSC community. They serve as allies to, and referral source for, students who have been targeted or who have witnessed a hate or bias-motivated incident.

They are available to assist you with any questions you may have about your options, advice and/or referrals. You are not obligated to use your name. However, should you want the someone to investigate or follow-up; your name will be needed.

Reporter Information

Please provide your full name.
Please provide your email address so that we can contact you if we have follow up questions about this report.
Please provide your phone number so that we can contact you if we have follow up questions about this report.
Report Type(s)Required
Please select the type of situation that you are reporting.
Hate/Bias Report

Hate/Bias Information

Please select the primary category of Bias













Please check any additional categories of bias













Who was the bias between?




Has this incident already been reported to any other UCSC Office or Official?Required
Action or Response RequestedRequired





Time and Location

   
Location of Incident
Where did the situation occur?

Parties Involved

Please list the names (and emails if possible) of the students involved in this situation.

Descriptive Information

Please provide as much information as possible about the situation (no text limit).
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