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Report a Violation of Student Code of Conduct


This form is NOT intended for an emergency response.

 

In case of emergency, imminent risk, or threat of violence please call 911 or Campus Safety at (269) 470-6084. Completing this referral form does not substitute contacting Campus Safety or the police.

Violations of the Student Code of Conduct are overseen by a multidisciplinary team of administrators at Lake Michigan College and are reported using this form. To learn more about the rights of students during the Student Conduct/Judicial process, please click here. 

To report other campus concerns, please see the categories below: 

Submitted referral forms are processed during normal business hours and are not monitored after hours, on weekends, or during college closures. 

If you have any questions about completing a report, please contact the Director of Campus Life at 269-927-8763. 

Background Information

 
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Involved Parties

Where possible, please enter all information you are aware of. 

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Student Code of Conduct

Please select all violations of the Student Code of Conduct present in the incident. If you are uncertain where a behavior or act falls within the Student Code of Conduct, you can learn more by clicking here, and navigating to the "Prohibited Conduct" section. 

Code of Conduct Violations(Required)
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Was law enforcement notified or involved in the incident?(Required)
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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.

Submission