Bias Response Webform

Purpose of Form 

This form allows any member of the Juilliard community to report any conduct potentially prohibited under Juilliard’s Non-Discrimination and Harassment Policy, specifically bias-related conduct, discrimination, harassment, and hate/bias crimes.

After Submission

Once you click submit, your report will be transmitted directly to Juilliard’s Bias Response Officer. Upon receipt of this form, the Bias Response Officer will reach out to you promptly to discuss all of your rights and options under the Policy. 

Anonymous Reporting 

Any member of the Juilliard community has the right to make an anonymous report. It is important to note that depending on the level of information available about the incident or the individuals involved, anonymous reporting may reduce the School’s ability to respond or pursue appropriate action. 

Whatever your decision, the Bias Response Officer or any other Juilliard officials designated in the Policy are available to provide guidance and support in making your report. 

Additional Resources 

Free and confidential counseling is available through Juilliard Counseling Services (for students), Employee Assistance Program (for employees), and NYC Well (24/7 talk-text-chat). 

Reporting Party
Alleged Incident Information

Please describe the incident(s) in as much detail as you are able. It is helpful to address the following:

  • who was involved and/or present
  • what took place
  • when it occurred, including the date
  • where it occurred, including specifics about location
  • any details about how it occurred
Potential Witness(es)
Witness 1
Witness 2
Witness 3
Witness 4
Witness 5
Additional Information
If applicable, please describe any electronic communications (e.g. texts, emails, social media messages, etc.) and other documents that you have relating to this incident.
You may upload copies of the communications here.
Files must be less than 5 MB.
Allowed file types: jpg jpeg png txt pdf doc docx mov mp3.
Files must be less than 5 MB.
Allowed file types: jpg jpeg png txt pdf doc docx mov mp3.
Files must be less than 5 MB.
Allowed file types: jpg jpeg png txt pdf doc docx mov mp3.
Previously Reported