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Anonymous EDI Contact Form

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You are invited to complete this form if you have experienced or witnessed equity, diversity and inclusion issues at the Faculty of Dental Medicine and Oral Health Sciences. It can be related but not limited to race, Indigenous identity, gender, sexual orientation or identity, disability, or religion. You can use this form if you are not comfortable disclosing your name or if you prefer that an email be sent directly to an individual. Please note this is not an official reporting form, but it will be used to address ongoing EDI issues in the Faculty with First Responders and/or the EDI Committee.  

 
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Please describe your concern/s or the incident you would like to share with the Faculty of Dental Medicine and Oral Health Sciences. You may include information about what happened, when it occurred, whether others were present at the time, or any other additional relevant information.
Would you like to receive information about the various types of support and/or reporting channels at the University?
Your name (Optional)
Would you like someone to get in touch with you? (If you choose yes please indicate your email in the previous field)
The persons listed below are First Responders at the Faculty of Dental Medicine and Oral Health Sciences. The role of First Responders is to listen to your concerns regarding Equity, Diversity and Inclusion, raise them with the EDI Committee and guide you through University reporting options should you wish to do so.
Please note that this form will be accessed by Abigail Gwitwara, Equity, Diversity and Inclusion Outreach Administrator, who will direct it to the appropriate person. If you did not select a specific First Responder, Abigail will assign one to you. She will then alert the First Responder that a contact form is requiring their attention.
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