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Consumer Information Code of Conduct Violation

Code of Conduct Violation

File a Code of Conduct violation for alleged misconduct of a non-academic nature as outlined in the Student Code of Conduct & Disciplinary Policy.

IF THIS IS AN EMERGENCY, PLEASE DIAL 911 IMMEDIATELY!

Students or staff who wish to report an alleged non-academic Code of Conduct violation may utilize the form below. Alternatively, the Associate Vice President of Strategic Enrollment Management may be contacted via phone, email, or in person, if preferred.

Erika Wilkinson
Associate Vice President of Strategic Enrollment Management
850 Greenfield Road, 2^nd floor Stoudt Building
mlwilkinson@PAcollege.edu, 717-947-6067

STOP!

Before completing this form, please review the Student Code of Conduct & Disciplinary Policy for information regarding reporting options, processes, and definitions.

Individuals who wish to make a report of sexual misconduct with PA College SHOULD NOT use this form. Instead, please use the Report Sexual Misconduct form.

All fields marked with an asterisk (*) are required.

Information

Your Name *

Your College Relation: *

If Other, Please Explain *

Your Phone Number [Please Enter a Valid US/Canada Phone Number including Area Code (e.g. xxx-xxx-xxxx)] *

Your Email Address *

Nature of Violation: *

Incident

Date of Incident *

Time of Incident *

Incident Location *

Message [Please provide as much information as you can, including a description of the persons involved (name, if known) and any other information that may be helpful.] *

By checking this box, you acknowledge that you have reviewed the Student Code of Conduct & Disciplinary Policy *

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