Conduct Referral Form

Student Conduct Code Violation Referral Form*
*Faculty reporting academic dishonesty should use the Academic Dishonesty Report Form available in their department office.

To talk to the Director of Citizenship and Community Standards regarding your complaint, contact:
Citizenship and Community Standards
Student Life Office
Student Union Building 3100
(660) 785-4111

 

Name of Accused Student(s)/Student Organization(s):

Date and Time of Misconduct:

Location of Misconduct:

Description of Alleged Misconduct:

Type of Resolution Requested: 

Mediation

Conduct Hearing

Not Sure

Name of Complainant(s):

Complainant Phone Number:

Complainant Address:

Complainant Email:

Date of Referral: 

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