| Date of Incident: |
Time: |
|
|
:
am
pm |
Location: Please be as specific as possible
(e.g., Kollen 230E, College East Apt B-7) |
|
Individuals Involved:
First and Last Name, Local Address, Telephone Number
Student ID Number (if Hope student) |
|
Person
Submitting Form:
Must be a member of the Hope college community (non-Hope Community members should contact Campus Safety at 616.395.7770 to report concerns) |
| E-mail Address:
|
| Brief Summary of Situation (1-2 SENTENCE MAXIMUM): |
|
Detailed Description of Incident:
This form may be used as part of the College Judicial Process. The description should be fact-based, focus on 'Who, What, Where, When', contain no spelling or grammar errors and avoid personal opinion. |
|
Witnesses:
First and Last Name, Local Address, Telephone Number |
|
| Resources Used: |
|
**Additional Information:
Please provide any other pertinent information that will better enable an appropriate response. |
|
Recommended Follow-up:
What action needs to be taken (e.g., follow-up by student's RD) |
|
