Students of Concern Report: Northern Kentucky University, Greater Cincinnati Region

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Students of Concern Report

The Students of Concern Committee (SOCC) has been established as a campus resource to receive and, when it deems appropriate, act upon information or behavior of concern exhibited by a student or group of students.

The Dean of Students Office has supplied the Students of Concern Report Form for members of the university community to provide information regarding a student or group of students of concern. Submitted forms will be reviewed in the Dean of Students Office during regular business hours of 8:15 a.m to 4:30 p.m. Monday-Friday.

If this incident is an emergency, contact the Northern Kentucky University Police Department at 911 or 859-572-7777.

Please provide your contact information below. Type in your university affiliation as either Student, Faculty, Staff, or Community.
Items with * are required.

Name:

NKU Affiliation:

Email:

Phone Number:

Date of incident or behavior:

Time it occurred:

Location:

Please provide below a detailed description of the incident, situation, or behavior that has caused you to file a Students of Concern Report Form. Please be as detailed as possible including dates, times, and locations. Additional supporting material such as electronic mail or other documents may be sent separately to deanstudents@nku.edu or campus mail to Student Union, room 301.

Incident:

Student or group of students exhibiting behavior of concern

Student or group name:

Student ID (if known):

Student Email (if known):

Student phone (if known)

If the name of the student or group of students is not known please provide a physical description of the student or group of students below. Include as much information as possible.

Description:

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