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  • Behavior Incident Report

    To report an incident, please provide the following information. Fields are not required in order to protect those who wish to remain anonymous. If a field is irrelevant to the incident, leave that field blank.
  • This form should be used to report violations related to non-acadmic misconduct, Title IX, student organizations and any concerns for the safety of a SouthArk student. Reasons to make a report could include, but are not limited to, the following:

    • Self-injurious behavior
    • Suicide attempt or talking about suicide
    • Threats of harm to others
    • Illegal drug use or abuse of prescription drugs
    • Emotional distress
    • Erratic behavior
    • Unusual behavior
    • Grieving student
    • Victimization
    • Discriminatory behavior
    • Any violation of the student code of conduct, student organization policies or procedures, or sexual harassment/discrimination policy

    Forms must be submitted electronically. Any SouthArk employee who becomes aware of an allegation must report the allegation as soon as possible. Students should also submit reports utilizing this form.

    Members of the South Arkansas Community College (SouthArk) community, guests, and visitors have the right to be free from all forms of gender and sex-based discrimination. SouthArk employees are required to report potential violations of our sexual misconduct policy immediately with or without victim consent. SouthArk community members, visitors, and guests have the right to participate in a safe environment conducive to learning.

    Completion of this form does not constitute an open investigation. Once this form is completed and submitted, an initial assessment will be conducted to determine if the report rises to the level that warrants further investigation.

    Throughout this process, SouthArk will protect the confidentiality and privacy of the reporting party to the extent possible and make every reasonable effort to abide by a reporting party's or victim's wish to remain anonymous. However, SouthArk must balance requests for anonymity/confidentiality with the safety of other members of the SouthArk community.

    Filing a complaint does not preclude filing the same with an external agency nor does it extend any time limits one has for such filings.

    This form is not an emergency incident report. If this is an emergency, call campus police at 870-866-9208 for West Campus, 870-310-5788 for East Campus, or 999 from an office phone. You may also use red or blue emergency phones or dial 911.

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  • Statement of Non-Retaliation

    The college will not tolerate retaliation of any kind against an individual who in good faith reports an incident. Retaliation is adverse treatment that occurs because of a report or investigation. Retaliation is grounds for disciplinary action.

    Statement of Understanding

    I understand that I am filing this complaint with South Arkansas Community College only. I also understand that by filing this complaint, I am not prevented or prohibited from filing the same complaint with an external agency including law enforcement. I understand that this complaint may warrant an internal investigation in accordance wiht the standards and procedures in the Student Code of Conduct and Title IX: Addressing Interpersonal Violence.

    I further understand that intentionally making a false report is grounds for disciplinary action.

  • Notice of Non-Discrimination: South Arkansas Community College does nto discriminate on the basis of race, color, gender, national origin or ethnic group, age, religion, disability, marital status,veteran status, sexual orientation or gender identity in educational prorams or activities.

  • Behavior Incident Report

    Created 05/31/2018

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