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Study Abroad Incident Report Form


This form is used to report an incident that occurs on a Harper College Study Abroad Trip. It may be used to report student misconduct or misbehavior, as well as incidents relating to medical, accidental, or other such incidents. It should be completed as soon after the incident as possible. The incident report will be reviewed by the Office of International Education. It may also be reviewed by the Student Conduct Office in case the situation also warrants a HEAT investigation or Student Conduct action. If multiple students are involved in an incident, only need to submit one form but list all involved students. Please be advised that this report is likely subject to FERPA which means that students referenced in it may be able to review the content related to them.

Background Information

Please provide the following background information.

 
Email address must be of a valid format.
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List the course (ENG 101) and/or Title of the Study Abroad Trip
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Please provide the city/country or other equivalent that best describes where the incident occurred.

Involved Parties

Please list all involved parties, including any students who may have violated the standards of the program, any students who could be considered victims or otherwise affected by the incident, and any witnesses.

Involved party 1

Questions

Please answer the following questions about the incident. Be objective and write about what you observed/what was reported to you.

Please check any/all of the following that were involved in this incident:(Required)
You must make at least one selection.
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Supporting Documentation

Please attach any supporting documents. This can include photos, videos, audio files, written statements, prior communications to the student about the behavior, etc. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission