Student Code of Conduct Complaint Form

Any administrative official, faculty member, student, or security officer may file a complaint with the Student Disciplinary Officer or his/her designee against any student for a violation of the Student Code of Conduct.

Date
MM slash DD slash YYYY
Person Accused of Violation:*
First Last
Student ID Number Number
Program/Major
Code Violation(s)*
Explanation of Complaint:*
Remedy/Outcome Requested:*
Witness(es)
Accuser Name:*
First Last
Phone
Email*