BIAS Incident Report

Section I: Samuel Merritt University Affiliation
Section II: Reporter Information
Section III: Incident Information
Primary Bias Category
Secondary Bias Category
Section IV: Person(s) Involved Information

Please identify all people or groups involved in this incident.

Alleged | the person/group who committed the behavior
Impacted | the person/group who experiences the behavior
Witness | any person who directly observed the behavior

The alleged was
This report is for
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