Request support

Thanks for connecting with the Office of Equity, Diversity, Inclusion & Anti-racism (EDI-R); we're here to support you. Complete this form to help us direct your needs to the appropriate persons within our office.

Instructions

  1. Complete the Intake Form below
  2. All requests will be reviewed by a member of the EDI-R team and will be directed to the appropriate member(s) of the team. If you need support filling out the form, please email equity@uwaterloo.ca
  3. You will receive a response within five business days through the preferred avenue of communication (unless no response needed has been indicated) and together with your assigned team member, you will identify next steps and agree to the terms of support

 

EDI-R Intake Form

Which unit is this request for?
Type of request
Please share as much as you feel comfortable
Please share as much as you feel comfortable
How would you like for us to respond to you?
(Name you'd like to be referred to in the consultation)
Pronouns
Select all that apply
What is your primary role on campus?
Select all that apply
Which Faculty, Affiliated and Federated Institutions of Waterloo or Satellite Campus are you from?
Select all that apply
e.g. Centre for Extended Learning, Writing and Communications Centre
e.g. Catering & Event Services, Print + Retail Solutions
e.g. School of Architecture, Department of Biology
e.g. Centre for Groundwater Research, Water Institute
This could include printouts of email, Facebook messages, text messages, letters, photos, etc.
One file only.
2 MB limit.
Allowed types: gif, jpg, jpeg, png, txt, pdf, doc, docx, ppt, xls, xlsx, mp3, zip.