Submitting a Complaint (Code of Student Conduct)

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.
1. Your first and last name:
 
2. 

I am:

(check all that apply)

Student  
Staff  
Faculty  
Alumni  
Other (please specify):  
 
3. Your preferred contact method (please enter your phone or email):
 
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?
Yes  
No  
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)

Yes  
No  
I don't know  
6. Respondent's first and last name:
 
7. Respondent's email:
 
8. Respondent's phone number:
 
9. Location of incident
 
10. Please provide the date of the incident (day/month/year):
 
11. Approximate time of the incident:
 
12. Type of incident:
Abuse of process  
Alcohol, cannabis, and drug use  
Smoking  
Contravention of policy or law  
Disruption or interference   
Hazing  
Possession or improper use of dangerous objects or substances  
Misconduct against persons and dangerous activity (assault, harassment, discrimination)  
Misconduct against animals  
Misconduct against human remains  
Misconduct involving property  
Misrepresentation, failing to provide, or providing false information  
Misuse of university information technology  
Misuse of social media  
Unauthorized entry and/or presence  
Aiding in the commission of an offence   
I don't know (select this option if the situation is not covered above)  
13. Please briefly describe the incident of concern:
 
14. Has this incident been reported elsewhere on campus? (please check all that apply)
Dalhousie Security  
Residence (or Residence Life office)  
Human Rights & Equity Services (HRES)  
I don't know  
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.