Report an incident

If you or your child have been the victim or witness of anti-Palestinian racism within the York Region educational system, your confidential report will help CPSF York Region monitor the issue and offer you support.

A person does not have to be Palestinian to experience anti-Palestinian racism. Non-Palestinian people are often also targeted for expressing support for Palestinian human rights.

Full name *

Email address *

Phone number *

How do you prefer to be contacted? *EmailPhone

How do you and/or your family self-identify? For example: race, religion, ethnicity, nationality, and/or cultural origin. *

What school board did the incident take place in? *YRDSBYCDSB (Catholic)

If this report involves a child, what grade is the child in?KindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Grade 8Grade 9Grade 10Grade 11Grade 12

What was the date of the incident, to the best of your recollection? *

In what context did the incident take place? For example: over email, in the classroom, during an extracurricular activity, or outside of school. *

Please describe who was targeted with anti-Palestinian racism during the incident, and/or who witnessed it. *

Who was the perpetrator of anti-Palestinian racism? Describe all who participated in it. *

Please tell us what happened. *

How did this incident make you feel about the school and/or school board? *

Please describe any negative impacts/outcomes of this incident. For example: negative thoughts or feelings, physical symptoms, behavioural changes, obstacles to learning or classroom participation, etc. *

Did you report the incident to anyone? If you did: when, to whom, and what was the outcome?

What do you wish would happen in response to this incident? Check all that apply. (Please note: CPSF York Region is independent from York Region school boards, and may not be able to achieve your preferred outcome. However, your answer will help inform our broader advocacy efforts.) *A mediated discussion with the perpetratorDisciplinary action against the perpetratorImproved education/training of all staffImproved policies/rulesGreater awareness about this type of incidentEmotional support from people who are safe to talk to

If there is anything else you would like to share, please describe.

I understand that CPSF York Region will never share any personally identifiable details from my report with third parties unless I give my express consent. *Yes

I understand that CPSF York Region may share non-identifying, anonymized aspects of my report to support its important advocacy efforts. I give permission for this. *Yes

I understand that I can withdraw my consent (verbally or in writing) at any time. *Yes

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