Antisemitic Incident Report

The Jewish Community Relations Committee (JCRC) of The Jewish Federation and Jewish Foundation of Nashville and Middle Tennessee would like to provide a place to report and to help resolve incidents of antisemitism in our area schools.

If you have experienced or witnessed an incident of antisemitism at school or related to school, please fill out the form below. We will maintain confidentiality and not share information without your permission unless there is imminent danger requiring action. If this is an emergency, please dial 911. We understand that the victim may be one of few (or the only) Jewish students at school, and that requires sensitive handling of the incident.

We hope that gathering this information will help shine a light on incidents of hate, bias and discrimination and prompt school systems to take steps to reduce antisemitic or insensitive behaviors through policy, annual training, and programs, and by requiring accountability when these incidents occur.

Fill in the form below if:

• you are the victim of antisemitic harassment or vandalism
• you have personal knowledge of antisemitic harassment or vandalism

We will contact you to gather more information.

The information you send to us is Strictly Confidential.

Incident Date *

Date

Incident Location *

Davidson County Rutherford County Williamson County Wilson County Other

School Name

Incident Description - please include as much detail as you would like to share (when/where/what happened). *

Photo, video or other relevant file(s) from the incident

If not covered above, please describe what actions, if any, that you or others have taken and what happened as a result.

How does the JCRC use this information?

The professional staff attempts to verify or corroborate all incidents. We respect all requests for anonymity. All reports are confidential unless there is an agreement to reveal the identities of the people involved. We refrain from publishing or otherwise making available the names of individual victims or perpetrators. This policy may exclude public figures or comments made in the public domain. The JCRC may intervene or provide follow-up on reported incidents. This is done on a case-by-case basis, in conjunction with the reporting party. Based on reported incidents, the JCRC may prepare and distribute an annual audit of antisemitic incidents to local Jewish organizations, agencies, and synagogues, local media, and national organizations, as deemed appropriate. The information is used to develop educational and outreach programming to combat antisemitic activity.

This form will be reviewed by JCRC Director, Deborah Oleshansky, deborah@jewishnashville.org

If you prefer you can message her directly rather than completing the form. Please use your full name and direct contact info.

As a first step, the JCRC will contact you to confirm the incident. (The JCRC, based on your preference, may or may not seek a specific remedy/solution to the particular incident) What would you like us to do next? *

I am reporting this for the purposes of data collection I want help resolving this issue. I want help understanding my rights. Other

Your Name *

First Name Last Name

Your Email Address *

example@example.com

Your Phone Number *

Please enter a valid phone number.

I agree to the following terms and conditions of the Jewish Federation & Jewish Foundation of Nashville and Middle Tennessee (JFJFNMT) with respect to my complaint:

I acknowledge that the role of the JFJFNMT is limited.
JFJFNMT will contact me before taking any direct action with respoect to my complaint. For purposes of this reporting form, "further action" means contacting the person or entity against whom the complaint was made with my consent and gather additional facts and information surrounding the complaint.

I understand that the JFFJNMT:

Cannot assert any claims from monetary damages or restitution on my behalf.
Cannot act as my legal representative or provide me with legal advice.
Cannot make promises or guarantees as to the outcome of my complaint. Any expression regarding the strength of my claim is only a matter of opinion. The strength of any legal claim that I may have arising from the facts reported in my complaint can only be made by an attorney or government agency.

*

I have read and agree to the JFJFNMT terms and conditions