Your Non-Workplace Discrimination Story (in 3 steps):

Location: (where it happened; if work related, click here) (choose one) Office - local or state gov't Office - federal gov't Public building Classroom Hotel Apartment Shelter Church Public meeting On the street Store, mall, etc Bar Public park Private land Other

State:   (choose one) AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KY KS LA MA MD ME MI MN MO MS MT NE NH NC ND NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY

Approximate date:   (month) January Februuary March April May June July August September October November December (year) before 1996 1996 or 1997 1998 or 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Discrimination Type:
(check all that apply)

Have you filed
a complaint?
(Check all that apply)

Part 2: What happened & what it cost you

Describe how you were discriminated against. Be sure to include:
  - the action(s) that hurt you
  - how it (they) hurt you
  - where it happened
  - who witnessed it
  - what, if anything, was done about it
  - has it happened before? if so, over what period of time has this happened?

Part 3: About You

This story is about discrimination experienced by:
  Myself   Someone Else

May we contact you?

It may be helpful to our work if we can ask you a few questions about your story. All contact and identity information will be kept in the strictest confidence and will not be used for ANY other purpose.

I am willing to be contacted by MTPC via the means I am supplying here: