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Remember,
- In an emergency CALL campus police (x7911)
- Always alert your division dean, and then the Office of Student Affairs
Bill Frankeberger, front office, x7241
Donald Dorsey, dean, x7389
- Use this form to automatically send the information to Bill Frankeberger. Please remember to submit supporting evidence directly to Bill.
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Faculty / Staff Information -
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* Today's Date:
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* Your Name:
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* All fields must
be completed.
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* Your Department:
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* Contact Phone:
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* Contact eMail:
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Student Information -
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* Student Name:
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* All fields must
be completed.
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* Student ID Number:
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(8 digit) |
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*Class or Location
of incident:
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Details of incident (who, what, where, when).
Please include actions taken (warnings, suspension from class, etc.).
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Details:
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* Required fields must be completed.
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