Share your Experience

This form is a part of WUSA’s broader advocacy initiatives, aiming to enhance campus life for marginalized groups at Waterloo.

When you share your experiences of feeling unsafe, unwelcome, or marginalized, it helps us to develop informed policies and practices that benefit all community members. By strengthening our advocacy efforts, we strive to make the campus environment safer and more inclusive.

Please note that we do not provide individual responses to submissions. However, we may use de-identified or aggregated details from your reports in discussions with our advocacy partners, including EDI-R and other relevant campus units, to support these goals.

Need support?

If you are seeking formal and/or individual trauma-informed support for your specific incident, please:

Frequently Asked Questions

It is encouraged that instances of equity-related injustice are communicated through the WUSA
Incident Report Form to help inform broader advocacy on the matter. Some examples are instances of:
  • Sexism
  • Racism
  • Transphobia
  • Homophobia
  • Islamophobia
  • Ableism
  • Xenophobia
  • Antisemitism
This form provides WUSA information to support broader advocacy efforts in order to improve the experience for marginalized folks on campus.
If you are also seeking formal and/or individual trauma-informed support for your specific incident, please refer to the form created by the University of Waterloo Office of Equity, Diversity, Inclusion & Anti-racism or contact the Indigenous Relations Office if relevant.
Peer Support and other supports can be found at any of these student-run services:

The form is designed to be completely anonymous to help protect the submitter’s privacy. If one agrees to be contacted regarding the form, then an email must be provided. In this case, the email will be accessible to WUSA’s IT and the parties who have been granted viewing consent. The responsible parties handling the form are required to sign agreements to safeguard sensitive information.

This includes confidentiality and conflict of interest agreements.
Upon submission of the WUSA Incident Report Form, the form administrator will allow for the parties with whom you have provided consent to access a copy of the form. The subject matter will be used to facilitate broader advocacy with other relevant parties. Mobilization for broader advocacy on equity issues raised by the incident report forms could involve but are not limited to the following
  • WUSA Equity Specialists
  • WUSA Board of Directors
  • WUSA student-run services such as RAISE, Women’s Centre, and Glow
  • Members of the Human Rights, Equity And Inclusion Office
  • Other stakeholders, such as Faculty Deans, AccessAbility Services, and/or additional campus units.
Further questions regarding this form can be directed to the form administrator.


(i.e. classroom, building, outside, inside, residence etc.) Please be as specific as possible.
Select all that apply
Consent, Privacy, and Information: The information in this form is sent to the form administrator and distributed appropriately as per the answers you provide below. Details from this form will not be shared without your consent. Thus, agreement below will be important in addressing the incident raised. More information on what to expect from the WUSA Incident Report Form procedure can be found on the FAQ at the beginning of this form.

Terms of Agreement

Available Supports