Names of individuals responsible for the alleged discriminatory action(s):. How were you allegedly discriminated against?Complete this form to make a report of discrimination. You can make this report whether or not you wish to be involved in an official complaint. Franklin University is committed to being an inclusive community free from all forms of discrimination and harassment in all university dealings. Use any form of application for purchase, lease or financing of any housing accommodation which inquires into the race, religion or ethnic origin of any person. INSTRUCTIONS: Complete and submit this form within 180 calendar days of the last act that you believe was discriminatory or harassing. This document outlines the reporting and investigation procedures related to FCBOE. Please complete this form to make a report of discrimination. You can make this report whether or not you wish to be involved in an official complaint.