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Campus Community Incident Report

The Campus Community Incident Report (CCIR) form is an opportunity for any individual in the Texas A&M University community (students, faculty or staff) to provide information concerning an alleged violation of University policies.

You may submit a report by completing the online form below.

Reports submitted will be reviewed by a designated authority based on the status of the person engaging in the alleged misconduct. For instance, reports of student misconduct will be reviewed by the Student Conduct Office or Department of Student Affairs in Qatar, reports of staff misconduct by Human Resources, and reports of faculty misconduct by the Dean of Faculties office. Depending on the information provided one of the following actions make be taken:

•No Action: Incidents that fall outside of university jurisdiction, do not involve a current student or employee, or have a lack of evidence. If the reporting party is unable to specifically identify the alleged offender(s), it is likely that no action will be taken.

•Further Investigation: Initial reports filed may require further follow up by university officials. The more detail-specific information supplied via the Campus Community Incident Report form will assist in a more timely resolution to the conflict outlined. If further investigation is necessary, the individual submitting the report may be contacted by a university official to provide more information.

•Mediation: Some reports which reach the university involve possible violations of regulations, but clearly are the result of an unresolved, on-going dispute between individuals. Other reports do not involve violations of regulations or fall outside University jurisdiction, but they too reflect disputes. In either of these situations, the students may be referred to mediation. Mediation is a voluntary process which utilizes an impartial, neutral third party who acts as a facilitator to help the parties reach a mutually acceptable accord. The university will provide a trained mediator to work with the parties involved.

•Charges Issued for students: Reports filed may lead to alleged violations of University Student Rules and charges will be issued to accused students. Accused students will be contacted and a student conduct hearing will be held to resolve the conflict.

*Confidentiality for reports of student misconduct: Information collected via this reporting system will be treated as confidential and is protected under the Family Educational Rights and Privacy Act of 1974. The report is an educational record. The SCO staff, an accused student, and those with an educational need to know will view the report.

*NOTE: The "alleged offender" is the person(s) you believe has violated policy.

Background Information

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Your full name:

Position/title/student status:

Your phone number:

Your email address:

Email address must be of a valid format.

UIN:

Campus Location(Required):

This field is required.

Status of the Alleged Offender(Required):

This field is required.

Date of incident(Required):

This field is required.

Time of incident:

Location of incident(Required):

This field is required.

Specific location:

Involved Parties

Name or Name of Organization

Select Role

UIN

DOB (YYYY-MM-DD)

Phone number

Email address

Address

Incident Description

Please describe the incident with as much detail as possible and use specific, concise, objective language. Focus on the Who, What, When, Where, How, and Why of the incident. Indicate specific people, words, phrases, and interactions. Please try use specific names instead of pronouns (he, she, they, etc.) when referring to people in the body of the report. When possible, we encourage the use of direct quotes, even in incidents when the language may be profane or abusive. For example, “Joe Aggie shook his fist at me and said ‘you are a stupid loser’” is more helpful than “Joe Aggie was threatening and used aggressive language with me.”(Required) This field is required.

Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.