Non-Discrimination Form – White Mountains Community College

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Discrimination Reporting Tool
Type of discrimination*
Discrimination relationship*
Description (summary) of the incident*
Reported by (optional):
Name
First Last
Date the behavior was observed
MM slash DD slash YYYY
Individual or individuals involved in the incident

(603) 752-1113
wmcc@ccsnh.edu

Berlin (Main Campus)
2020 Riverside Drive
Berlin, NH 03570

Littleton Academic Center
646 Union Street
Littleton, NH 03561

North Conway Academic Center
2541 White Mountain Hwy
North Conway, NH 03860