Human Relations Advisory Committee

ljudkins@pocatello.gov

Laura Judkins
HRAC Staff Liasion
911 N 7th Avenue
Pocatello, Idaho 83201

Community Concern

What happened to you or someone you know that you believe was discriminatory? If you would like, please include the date(s), action(s), and the name(s) and title(s) of the person(s) who you believe discriminated again you or someone you know. (Example: 1/1/2021 - Discharged by Mr. John Doe, Production Supervisor.)

I believe I was discriminated against or witnessed discrimination in the following area(s):

Employment

Public Accommodation

Housing

Education

What is the basis (or bases) for your claim of discrimination? Please check all that apply.

Race

National Origin (ethnicity or ancestry)

Color (different skin shade in same race)

Sex

Religion

Age (40+)

Disability

Retaliation

For retaliation discrimination, please check all that apply.

Race

National Origin (ethnicity or ancestry)

Color (different skin shade in same race)

Sex

Religion

Age (40+)

Disability

For sex discrimination, please check all that apply.

Female

Male

Pregnancy

Sexual Orientation

Gender Identity

Personal Information (optional)

Phone (optional)

Email (optional)