Central Community College Logo

Student Conduct Reporting Form


This form is designed to provide students, employees, faculty, vendors, visitors, or others with an on-line method to report specific information related to an alleged incident(s) where Central Community College's Student Code of Conduct was violated. Please note that reports related to Title IX should be made using the Title IX Reporting form., and concerning behavior that may not be a violation of CCC's student code of conduct should be reported using the CARE Team Reporting form..

You are not required to complete the entire form in order for the report to be submitted. Though anonymous reports are permitted, doing so may limit the College’s ability to investigate and respond to a complaint. Central Community College will use the information provided to begin an investigation, which may include contacting the complainant, respondent, and/or any potential witnesses. The College's ability to respond is enhanced based on the quantity and quality of information provided.

Background Information

Completion of all fields noted in Red is required.

 
Enable additional features by logging in.
Email address must be of a valid format.
This field is required.
This field is required.
Learn more
Select the general location where the incident(s) occurred:
Learn more
Describe the exact location where the incident(s) occurred

Involved Parties

Please identify the people or organization involved in the incident, including any witnesses or people who may have indirect knowledge of the incident(s).

Involved party 1

Incident Report Reason(s)

Section Text

Check the box that describes the nature of the incident. Multiple boxes may be selected. Supporting documentation may be uploaded below.(Required)
You must make at least one selection.
This field is required.
This field is required.
This field is required.
This field is required.
Violations of Local, State, or Federal Statute. Check the box that best describes the nature of the incident. Multiple boxes may be selected.(Required)
You must make at least one selection.
This field is required.
This field is required.

Supporting Documentation

Please add any additional documents that support your report. Items that would be very helpful include: screen shots, text strings, phone records, cell phone images or recordings. There is a 1GB maximum and attachments require time to upload, so please be patient after submitting this form. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission