MHU COVID-19 Community Accountability Form
This form is a way to hold our community accountable and safe during COVID-19. By completing this form, you are committing to a safer campus for all of us. Thank you in advance for your narrative. The form will be reviewed by a University Official and they will follow-up with your narrative within 3-5 business days. You may be contacted and be asked to provide additional information. Thank you!
What is your name?
What is your role in the MHU Community?
Is this about a student, faculty or staff member?
Student and Faculty/Staff
What is your phone number?
What is your MHU email address?
What was the date of the incident?
What was the time of the incident?
What was the location of the incident?
What is the urgency of this report?
LOW/STANDARD (not completing daily assessment, not adhering to appropriate distancing guidelines (1-2 times), frequently forgetting mask (1-2 times), ect.,) Possible sanctions include disciplinary probation, community service and fines.)(not completing daily assessment, not adhering to appropriate distancing guidelines (1-2 times), frequently forgetting mask (1-2 times), ect.,) Possible sanctions include disciplinary probation, community service and fines.)
MEDIUM/HIGH (continuous refusal to complete daily assessment on app (3+times), continuous refusal to wear face covering (3+times), refusal to abide by MHU's residential rules/policies, not adhering to restrictions on social gatherings, disorderly conduct in online/virtual settings). Possible sanctions can lead to suspension for at least one academic semester and residence hall expulsion.)
Who is the person for whom you are submitting this report? (Please provide as much information if you do not know the name)
What violation of our COVID-19 guidelines did you observe? (Choose all that apply)
Not Physical Distancing
Not Wearing a Face Covering
Engaging in Social Gatherings that pass the recommended limit
Was MHU Campus Safety & Security contacted/involved in the incident?
Please provide a narrative of what you observed and share if you confronted the behavior here.
(Optional) Please share any ideas on how you wish the University follows-up.
Should be Empty: