Hotline Callback Sheet

First and Last Name of person who called the hotline *

Organization or Congregation if applicable

• I’m so sorry to hear that you’ve had a problem. Will you tell me about what happened? *

Give as much detail as possible.

• Do you feel safe now? If not, please hang up right now and call 9-1-1.

Has law enforcement been called? *

Yes

Unsure or NAUnsure or NA

If yes, what agency was called?

• What makes you feel this was related to your religious or racial or ethnic identity? *

(if it's not, listen and show concern anyway)

• What do you need help with now? And/or How would you like IPSC to help? *

• Would you like help with reporting this to a civil liberties group?

like the ACLU, Americans United (for Separation of Church and State, ADL (Jewish), CAIR (Muslim)

• Who is your minister or leader of your group? How can we reach that person if needed?

• Is this information that we can share if needed with others on our team? * • Is this information that we can share if needed with others on our team?

• Is it all right if I get your email and your mailing address so I can check back with you in a few days? *

Remember to get a clear address with zip code, as well as email, and additional phone numbers if needed.

We're so glad you called - thank you for sharing this difficult story.

• Do you feel safe now? If not, please hang up right now and call 9-1-1.

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