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Student Conduct Referral


Use this form to report a violation of the Student Code of Conduct. In completing this report, please fill in as much information as you know. Reports will be forwarded to and reviewed by the appropriate staff member, typically within one to two business days. For detailed information about the Student Code of Conduct, see here: https://www.durhamtech.edu/policiesprocedures/codeconduct.htm .

Please note:
If the incident you are reporting involves any behavior of a threatening nature and you have a safety concern, contact Campus Police immediately at 919-536-7200, x5555.

Background Information

Please include your name and contact information on this form. Anonymous submissions that cannot be substantiated may not result in action taken by the college.

 
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Involved Parties

Please list the individuals involved, and complete as many of the listed fields as you can provide. For visitors, please list a driver's license number in the block labeled ID Number, if available. If you have listed your information as the person submitting the report, you do not need to include duplicate information here. Please be careful to include all seven digits in the student ID Number field. Names should follow this format: FirstName LastName.

Involved party 1

Questions

Select any that apply:
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Was alcohol involved?(Required)
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Were drugs involved?(Required)
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For Police/Security reports only: Was the individual trespassed from campus?
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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