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Armenophobia Reporting Form

Thank you for taking the time to report an incident related to possible instances of Armenophobia on college campuses or involving Armenian college students. This form is managed by the All-Armenian Student Association.
Armenophobia refers to hostility, prejudice, discrimination, or hatred directed toward Armenians or with Armenian identity, culture, language, or history. This can include verbal abuse, online harassment, denial of the Armenian Genocide, or additional acts of bias or hate.
Please complete an entry to this form from top to bottom in order to document personal experiences, witnessed incidents, or concerns involving Armenophobia. Whether you choose to report anonymously or with your contact information, your submission will help track patterns, respond when appropriate, and maintain a record for archival and research purposes.
If this is an emergency, please contact campus security or your emergency response services directly. Note, the All-Armenian Student Association board and Advocacy Committee members will have access to the data you provide but will keep your information confidential, and if the option is selected, anonymous. With additional questions, please email us at [email protected]

Incident Report

What type of Armenophobic incident are you reporting? (Select all that apply)

What type of Armenophobic incident are you reporting? (Select all that apply)

In which country did this incident take place?

In which state did the incident occur?

At which university did the incident take place? If at a high school, non-All-ASA-affiliated university, or public space involving students, please select 'other'.

What is the date of the incident?

Did this incident happen to you?

Did this incident happen to you?
A
B
C

Is the impacted individual(s) aware you are filing a report?

The perpetrator(s) is an: (select one)

Please describe the incident in as much detail as possible. Please also an exact location if possible (e.g., classroom, area of campus, parking lots)

Please upload any evidence you wish to share. (e.g., screenshots, police reports, videos, emails)

Is the perpetrator a student, faculty, staff member, or individual otherwise affiliated with the university?

Have you reported this incident elsewhere? (e.g., school admin, HR, police)

To whom did you submit an incident report, and what was the resulting outcome?

Describe everything you know about the perpetrator, including any names and contact information, if relevant.

Witnesses

Are there any witnesses you’d like us to contact to further pursue this report?

Are there any witnesses you’d like us to contact to further pursue this report?
A
B
C

What is your name? (leave blank to remain anonymous)

Please list your email address, phone number, and/or Instagram handle, etc.

Are you of Armenian descent?

Please select the option that best describes yourself.