BEHAVIOR REPORT FORM | HCC

BEHAVIOR REPORT FORM

Please complete this form to report concerning behavior. The student may receive notification of alleged violations or be contacted to make an appointment with the Provost Dr. Reneau Waggoner and/or designated representative(s) of the CARE Team. Describe as completely as possible the behavior you observed, heard, or was reported to you. Use direct quotes when reporting statements made by others. Also, please provide any documentation you have (emails, notes, text messages, social media, etc.) which may help the CARE Team determine the best method to address the situation.

first, middle initial, and last
Gender
Building and Room number or off campus location
Check any box applying to the student and provide supporting comments below

Witness Names and contact information:

first, middle, and last
first, middle, and last
first, middle, and last
first, middle, and last