Concern or Conduct Report

Use this form if you have a behavioral concern about a particular student or employee or if you want to report a conduct issue.

If this is an emergency call 911.

When you click "Submit", the information you entered will be sent to DCTC. This matter will be routed to the appropriate staff or Campus Assessment, Referral, and Education (CARE) Team member and will be followed up on shortly.

Your Information

Optional, but recommended.

Star ID

First Name

Last Name

Phone

Email Address

Person of concern & situation details

Provide as much information as you can about the person of concern.

Name

Description

Please provide any other identifying characteristics (i.e. approx. age, gender, build, height, etc.), especially if you do not know the person's name.

* Situation Description

Provide a detailed description of the concern/conduct incident using specific concise, objective language (Who, what, where, when, why, and how).

* Nature of this report

Urgency

* Incident Date/Time

Interested parties or witnesses

Provide information for any victims, witnesses or otherwise interested parties. Please provide names and contact information if you have it as well as how they are related (i.e. victim, witness, etc).

Supporting Documents: Allowed file extensions: pdf,doc,docx,txt

Attach any supporting documents.