VP Equity In-Take Form

VP Equity In-Take Form

The VP Equity In-Take Form is for students or clubs to report incidents where they were subjected to discrimination, harm, harassment, or other violations of equity policy happening in the UTSU student life portfolio (clubs, outreach, events, etc;). Please note, this form is not for administrative complaints or duties -- this form is only for issues relating to equity (i.e. instances where power dynamics relating to a protected ground such as race, gender, disability, etc. have resulted in inequitable treatment of a person or group). Depending on the severity of the matter, ULife and other resources may be used to investigate the matter. We will be in contact with the student or club who filled out the form. For each incident, please fill the form only once, and we will reach out as soon as possible. You can learn more about the UTSU club guidelines at https://www.utsu.ca/start-a-club/
Name *

First Name Last Name
Email *
example@example.com
Phone Number *
Please enter a valid phone number.
Date of incident *

Month Day Year
If re-occurring, best estimate the date of the first incident when it began.
In which club did this incident occur? If more than one club, or non-club specific incident (e.g. events or outreach), please indicate so.
Type club above.
Are you a current club member, prospective club member, or non-club member? *

Current Club Member Prospective Club Member Non-Club Member N/A non-club incident
What is your relationship with the club or event? Are you a general member or executive? *
Please describe the incident in full detail you or your club faced. *
Do you have any remedies, resolutions, interventions you are explicitly seeking at this time?
Other details the UTSU should be aware of (if a non-club incident, feel free to specify the event)
Should be Empty: