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Student Code of Conduct Form

STC 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. The individual(s) initiating the action must complete a Student Code of Conduct Complaint Form.

Date

MM slash DD slash YYYY

Student Name(Required)

First Last

Name of Student(s) in possible violation of model student conduct code 6.7.2p2

Student ID

STC 900 number

Email

Phone(Required)

Program /Major

Explanation of Complaint(Required)

Witness(es)(Required)

Have you discussed the specific behaviors that are said to be in violation of the Student Code of Conduct?(Required)

Have you attempted to resolved the issue in good faith?(Required)

If you answered yes to the above question, please describe

Name(Required)

Phone(Required)

Email(Required)

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