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Please review your information below carefully and include as much information as possible to enable the Manager, Student Conduct to determine how best to proceed. If you have any questions, please contact the Student Conduct Office at stucode@dal.ca.
Confidentiality: Disclosures and Reports of non-academic misconduct will be kept confidential to the greatest extent possible, within the limitations described in section F4 of the Code of Student Conduct. Confidentiality is limited to those within the University community who need to know information to carry out their responsibilities under this Code. In all cases, the Manager, Student Conduct will share the least amount of information possible. |
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1. | Your first and last name: | | | | |
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2. | I am: (check all that apply) | | | | |
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3. | Your preferred contact method (please enter your phone or email): | | | | |
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Please note that unless you provide a contact method, we cannot follow up. |
4. | If your preferred contact method is phone, can we leave a voice message? | | |
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5. | Is the respondent a student at Dalhousie University? (“Respondent” refers to a member of the University community who the complainant is alleging committed a violation of the Code) | | |
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6. | Respondent's first and last name: | | | | |
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8. | Respondent's phone number: | | | | |
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10. | Please provide the date of the incident (day/month/year): | | | | |
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11. | Approximate time of the incident: | | | | |
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13. | Please briefly describe the incident of concern: | | | | |
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14. | Has this incident been reported elsewhere on campus? (please check all that apply) | | |
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15. | Please attach pictures if applicable (.jpeg format only) | | | | |
| If you have an attachment that cannot be submitted in the format required (jpeg), please send it to the Student Conduct Office at stucode@dal.ca making reference to the submitted complaint online. |
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