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Student Conduct Violation Reporting Form


If you think the incident or your concern is an emergency, please call 911.

Please provide as much information as you can in the 'Description of Incident' section regarding the concern you are reporting. Once the form is received, the appropriate staff will review the report and take action as necessary, which may include contacting you, the person reported, and any witnesses you have identified.

The information you have provided, including the identity of the individual of concern, will be kept confidential whenever possible. While we do everything we can to preserve your anonymity, we cannot promise complete confidentiality.

Submitted reports are processed during normal business hours. They are not monitored after hours, on weekends, or on holidays. For immediate concerns about a student call Safety and Security at 763-433-1330 or call 911.

Reporter and Incident Information

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First and last name
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Faculty, staff, or student, etc?
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Number to best reach you
Email address must be of a valid format.
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Email address to best reach you
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Please indicate specific location on campus if applicable.

Involved Parties

Involved party 1

Questions

Please indicate the relevant category/categories that pertain to this incident report. Click "College Policies" to see the definitions of the following listed policies before selecting the one/s that apply: College Policies
You must make at least one selection.
This field is required.
Have you addressed this issue with the student?(Required)
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Supporting Documentation

Please include any supporting documentation that serves as evidence of the alleged student code of conduct policy violations (that were checked above). Also if you have addressed the issue/s with the student, please include any documentation that shows how you have done that as well. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission