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Student Code of Conduct Form

This form is NOT intended for emergency response. If you need to report an emergency or are reporting an incident that poses an imminent risk of harm please dial 911.

If it is not an emergency but the student is on campus in immediate distress, please call campus security at 704-991-0118.

Submitted incident reporting forms are reviewed during normal business hours and are not monitored after hours, on the weekends, or during college closures.

Click here to view Student Code of Conduct Policy

Background Information

Your full name:

Your position/title:

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Student; SCC Employee; Other

Your phone number:

SCC student email if available:

Email address must be of a valid format.

Your physical address:

Urgency of this report(Required):

This field is required.

Date of incident(Required):

This field is required.

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Specific Day

Time of incident:

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Specific Time

Location of incident(Required):

This field is required.

Specific location:

Involved Parties

Fields may be left blank if information is unknown.

Involved party 1

Name

Select Role

Seven digit SID Number

Phone number

Email address

Questions

Please indicate relevant categories that pertain to this incident report.

Student Concerns(Required)

Use of tobacco products Weapons, possession or use Animals on campus Sexual Harassment (please refer to Anti-Harassment discrimination policy) Internet use Drug and alcoholic beverages Bullying/Cyberbullying Social Networking/Media Disruption Conduct False presentation Theft/damaged property Public laws Unauthorized entry/presence of college facility Academic dishonesty

You must make at least one selection.

Please provide a detailed description of the incident/concern using specific concise, objective language (who, what, where, when, why, and how).(Required) This field is required.

Select any of the following that apply.(Required)

Police involved Arrest EMS transport EMS called-refused EMS called-no transport needed None

You must make at least one selection.

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

Email me a copy of this report