Staff & Student Issue Reporting
You can report issues anonymously or attach your name so we can follow up
Would you like to report the issue anonymously?
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I would like to report anonymously
I would like to report an issue with name attached. (If you are comfortable this is the preferable option.)
Name
First Name
Last Name
Email
example@example.com
What issues do you want to report?
*
I want to report a Drug & Alcohol Issue
I want to report a Staff or Student Issue
I want to report a Staff Room Issue
I want to report an issue with the program I am staffing
Other
Please describe the staff or student issue you want to report. Please use as much detail as possible.
*
Please describe the staff room issue you want to report. Please use as much detail as possible.
*
Please describe the program issue you are reporting. Please use as much detail as possible.
*
What Drug or Alcohol Issue are reporting them for?
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Marijuana usage/possession
Tobacco or Nicotine usage/possession
Vaping/Smoking usage/possession
Alcohol usage/possession
Other
How did you come to hear of this Drug or Alcohol situation?
*
The person confided in you
You were offered a substance
You overheard them talking about it
You noticed they were acting different and may be on some sort of substance that is prohibited
You heard rumors about this situation
Other
Has the Drug or Alcohol violation occurred already or is it expected to happen sometime soon?
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Has already happened
Is currently happening
Will happen in the future
Not sure
Other
Is the person a student or a staff member who may be violating the Drug & Alcohol policy?
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Student
Staff Member
Other
Who are you reporting for the possible Drug & Alcohol policy violation? Please write the initial of the last name if you do not know it, or write “N/A/”
*
First Name
Last Name
Submit
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