Drug Testing Consent Form
Full Legal First and Last Name
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First Name
Last Name
I understand, Southwestern Christian University recognizes its responsibility as an educational and private institution to promote a healthy and productive environment. This responsibility demands the implementation of programs and services facilitating that effort. The university is committed to a program that will prevent the abuse and illegal use of drugs and alcohol by its students and employees. This policy also includes the prevention of the use of tobacco and tobacco-related products, such as vapors, hookahs, and related paraphernalia. The university program includes this policy which prohibits the illegal use of drugs and alcohol in the workplace, on university property, as part of any university-sponsored activities, or outside use/association with outside of the university context while the individual is a student or employee at Southwestern Christian University.
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Yes
I understand, Southwestern Christian University holds a “No Tolerance” stance concerning all illegal drugs, including Marijuana, and will dismiss students from Southwestern Christian University for promotion, distribution, sale, possession, use or association with (either on or off campus) any illegal drugs or such substances. Dismissal from Southwestern Christian University because of illegal drugs can have an adverse effect on Title IV funding (financial aid) in compliance with federal law.
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Yes
Drug Testing
I understand, As part of SCU registration, each student must sign a drug testing consent form in order to remain a student at Southwestern Christian University. Refusal to sign a drug testing consent form will result in dismissal from the university.
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Yes
I understand, Southwestern Christian University reserves the right to conduct drug testing throughout the academic year. Drug testing may be done at random or based upon suspicion by university staff. Suspicion can be, but is not limited to, an incident reported by staff or students about a student. An example of this could be a student showing up at an SCU event or facility emitting the odor of certain substances or behaving in a manner that might be indicative of drug usage or association.
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Yes
I understand that refusal to take a drug test will result in an automatic positive test. A positive test is defined as a test which indicates, in the opinion of the outside laboratory performing the testing, that a student has used a prohibited or controlled substance based on traces of that substance detected in the student’s urine/hair specimen. A drug screening will also be considered positive if it is discovered by the outside laboratory and/or the university that the provided urine/hair sample has been altered or that foreign substances have been added to the sample in an effort to destroy or disguise traces of prohibited substances.
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Yes
I understand, any attempt to falsify, manipulate, tamper with, or alter a drug test in any way is viewed by the university as a positive test and will result in immediate dismissal. Aiding another student in attempting to falsify, manipulate, or alter a drug test will result in disciplinary measures being taken by the university up to expulsion. Tests that come back positive* will result in immediate dismissal from the university. If the tester recommends a re-test for any reason, the university reserves the right to require the student to take another test. The university also reserves the right to retest a student who has been tested at any point. A student that has been dismissed (voluntarily or involuntarily) from SCU for drug related offenses may be required to submit to drug testing during the application process and/or at other designated times should they choose to reapply to SCU in a future semester.
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Yes
I understand that, If a student is involved in a drug related offense, SCU reserves the right to involuntarily dismiss the student immediately. In some instances, SCU will give the student the option to voluntarily withdraw from the university. Whether dismissed involuntarily or withdrawn voluntarily, the student may not return for two (2) semesters.
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Yes
I understand that in the event of an involuntary dismissal or a voluntary withdrawal for drug related offenses, the student becomes ineligible for all institutional scholarships and is responsible for all charges on their student account
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Yes
I understand that SCU's drug policy applies to me the entire time that I am a student at Southwestern Christian University. This includes breaks and holidays.
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Yes
My signature below acknowledges SCU's drug policies listed above. I understand that by signing I am giving SCU permission to have outside drug testing facilities chosen by SCU to perform tests on any required samples whether it be urine, hair, or blood. I consent to participate in any drug tests required of me should I be chosen for testing.
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Submit
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