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Comply with Mandatory Health & Wellness Checks Before Coming to MCC Campus and Sites
Student Code of Conduct Incident Report
Violations of Student Code of Conduct
(except Academic Dishonesty)
Today's Date:
•
= Required Information
Name:
Person filling out this form.
•
First:
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Last:
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Email:
•
Phone:
Name of person who allegedly violated campus rules:
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First:
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Last:
Student ID
(if known)
:
Incident Details:
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Date of Incident:
Format as mm/dd/yyyy or use calendar widget
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Time of Incident:
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Place of Incident:
Witness(es):
Type in names separated by commas.
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Alleged code of conduct violation:
Mouse over text for definition.
Assault & Battery
Weapons
Drugs
Alcoholic Beverages
Disruptive Behavior
Endangerment
Harassment
Discrimination
Theft
Gambling
Vandalism
Soliciting
Counterfeiting, Altering, Impersonating or Financial Irresponsibility
Smoking
Computer Misuse
Violations of Sanctions
Other Violations
Technology Usage
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Details of Incident:
(This is your official statement of the details that occurred.)
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