AROC Action The Institute for the Understanding of Anti-Palestinian Racism K-12 Legal Defense — Teach, Learn & Belong

Discrimination & Censorship Tracker

Need help filling out this form? Call us at 415-861-7444 between 10AM and 5PM PT. A member of our staff can help you fill it out or arrange time to fill it out together.

This is a national tracker for incidents of hate, racism, or repression against Palestinian, Arab, allied, and other BAMEMSA individuals. It covers schools and other settings across the country. Reporting here helps us fight back against the growing racism and repression facing our communities and our kids.

AROC Action and researchers from the Institute for Understanding Anti-Palestinian Racism (IUAPR) developed this tool together. We will use it to understand and challenge the many types of discrimination our communities face.

For individuals in California, this tracker also allows you to choose if you want to submit to statewide incident registries that help us respond to unfair laws and racist trends in California schools and other settings. Californians can also choose if they want to receive direct follow-up support from AROC or legal advisors at K-12 Defense, PalLegal and/or CAIR. This form does not in itself constitute legal advice.

Privacy and Anonymity

Nothing you submit will be identified with you and shared anywhere beyond the research team without your permission. When you fill out this form, all of the information is encrypted and kept secure, private, and confidential. Any incident data will be anonymized so that nothing can be traced back to you unless you want to share your story publicly.

Fields marked with an asterisk are required.

Consent

Read more about how the data is securely collected and stored here.

Contact information

As a reminder, this form is end to end encrypted and you may opt out of any contact.
Required for reports outside of California.

Where should we report this incident?

If you are seeking support in other states, please opt in to share your information with Palestine Legal and AROC Action. Each submission remains secure and confidential to that organization.

In this form, you can choose to submit your information to multiple organizations in addition to AROC and IUAPR. Each submission remains secure and confidential to that organization. You may want to submit to these organizations for support seeking legal action, but you may also choose to anonymize your information to them for research purposes only:

Please note that if you choose to make your information anonymous, you are opting out of any follow-up about your experience.

Submitting this form shares your report with AROC and IUAPR.

For online hate or repression, we recommend also filling out an incident report with 7amleh: https://7or.7amleh.org/

Tell us what happened

Used when a specific date is known.
For example: what happened, where it happened, who was involved, what did you do, did you get a resolution, etc.

About the racism involved

Did the incident involve any of these forms of racism?*

Select all that apply.

What is anti-Palestinian racism?

Anti-Palestinian racism is a form of systemic racism that works to silence, exclude, erase, stereotype, defame, or treat Palestinians and their stories as less than human. It shows up in many ways and can include:

Nakba Denial
Discrediting the factual basis of Palestinian expulsion in 1948 and other massacres.
Justifying Violence Against Palestinians
E.g. bullying or threatening a student for wearing a keffiyeh or standing up for Palestinian rights.
Denying Palestinians are Indigenous to Palestine
With their own identity and rights.
Erasing Palestinian Human Rights
And their equal dignity and worth, e.g. not being allowed to talk about what is happening to Palestinians, related news stories or experiences.
Excluding Palestinians or Palestinian perspectives
And stories, or pressuring others to exclude them, e.g. not being allowed to join a club or host an event.
Defaming Palestinians or their allies
With slander, such as calling them inherently anti-semitic, a terrorist threat or supporter, against democracy, or falsely associating them with Palestinian political factions.
Why the respondent believes the incident was anti-Palestinian racism (asked on yes/maybe).

Where it happened

What kind of location did the incident take place at?*

You may select multiple options. If Other, please specify in the box that appears.

California K–12

This could include something that happens online, interpersonally outside of the school or district, as well as incidents within K-12 schools statewide.
Please note, official complaints to local authorities must be submitted within six (6) months of the incident.

School information

Please note if you are a parent or guardian filling out on behalf of your child, the questions on race, identity, etc. should represent the child.

Please note if you are a parent or guardian filling out on behalf of your child, the questions on race, identity, etc. should represent the child.

Please note that if you choose to submit an official complaint through this form, while the District will maintain your information confidentially and you are nominally protected from retaliation by law for filing this complaint, schools or districts may find other ways to retaliate.

Type of incident

What type of incident was it?*

Select all that apply.

Supporting materials

Are there photos or documents you would like to include that help explain what happened?

California K–12 complaint

Include Name, Job Title, and School / Department if relevant.
Please provide a name.
Please include full address and apartment number. This is required for submitting the formal complaint.

Educational requirements

For example: second-language, low income, or other accommodations; graduation requirements; school safety plans; fees or charges; course periods without educational content; required consequences for bullying or educational safety, etc.

Reporting the incident

School response and impacts

Please provide a name.

Educational impacts: What were the impacts of this incident on your experience in school?

Select all that apply.

Experiences and impacts

In this or other instances, did you experience any of the following?

Related to your ethnicity, race, or nationality; your association with people of a particular race, ethnicity, or nationality; or your respect for Palestinian human rights. Select all that apply.

Regarding your personal well-being and health, what impacts did you experience as a result of this incident?*

For example, anxiety, headaches, hypervigilance, self-doubt, etc. Select all that apply.

Identity and demographics

If you are filling this form out on behalf of someone else, please answer these questions about the person who experienced the incident.

If any, what aspects of your identity do you believe may have been targeted in this incident?*

Select all that apply.

What is your race and/or ethnicity?*

Choose up to three representing the ones you most identify with.

Do you identify as Arab or Palestinian?*

Check all that apply.

For example: Trans / gender-expansive, etc.

Anything else?

Optional!

Signature

By typing your name below, you confirm that the information provided is true and correct to the best of your knowledge and agree to treat this digital signature as your physical signature.