George Mason University
George Mason University Mason
George Mason University

Intake Form

This form will provide Compliance, Diversity and Ethics (CDE) with basic information regarding alleged incidents of protected class discrimination or ethics violations at George Mason University. An asterisk (*) indicates a required field. Please fill out all requested information and click 'submit'. Information provided will be treated in the strictest confidence possible.

If you need assistance completing our Intake Form, or a reasonable accommodation to participate in our process, please notify CDE.

To provide information regarding alleged incidents of sexual or interpersonal misconduct, please click here to fill out our Title IX Report Form.

If you wish to remain anonymous, please enter 'N/A' in the field below.
Please provide your current mailing address, including city, state, and country. If you prefer not to provide your mailing address, please enter “N/A” in the field below.

Basis of Complaint and/or Alleged Discrimination

For discrimination under Title VII of the Civil Rights Act of 1964 (definitions), please select the category or categories that best describe your allegation(s).  Hold the CTRL (or CMD) key to select multiple.
To report a violation of Mason's Conflict of Interest rules or other applicable law or policy, please select below:


Please provide the name of the person you are reporting.