Violation of Student Code of Conduct Incident Report If you have knowledge of a Beal University Canada student violating the Student Code of Conduct, you are encouraged to notify the Dean of the incident. Please use this form to report any behaviors of concern involving the BUC community, whether these behaviors occur inside or outside of the classroom setting.Reporting Party InformationReporter’s first and last name(Required) First Last Reporter’s position/title(Required)Reporter’s phone number(Required)Reporter’s email address(Required) Urgency of this report:(Required)NormalUrgentDate of Incident:(Required) MM slash DD slash YYYY Time of Incident:(Required) Hours : Minutes AM PM AM/PM Location of Incident:(Required)On CampusOff CampusOnlineSpecific Location:(Required)Student InformationFull Name:(Required)Phone Number:(Required)Email address:(Required)QuestionsPlease Select the Student Code of Conduct Violation(s) (check all that apply)(Required) a. Disruptive behavior or open defiance of authority. b. Theft or destruction of University or private property. c. Harassment, horseplay threats, verbal abuse or violence of any kind. d. Profanity, insubordination, dishonesty or violation of safety rules. e. Assault or threat towards a student, district personnel, or an authorized visitor. f. Misconduct to a person resulting in injury or death which includes property damage and theft. g. Unsafe behavior in a clinical or lab setting that poses a threat to self or others. h. Unlawful use, sale, possession or presence of being under the influence of any controlled substance. i. Failure to comply with the Campus Dress Code. j. Smoking. k. Inappropriate use of electronic devices l. Failure to comply with emergency or safety practices, tampering with safety equipment or violation of any safety rules. m. Disorderly, lewd, indecent, or obscene conduct. n. Possession or use of any firearms, explosives, dangerous chemicals, weapons, or other potentially harmful substances. o. Obstruction or disruption, on or off campus. p. Physical abuse or threat of physical abuse. q. Misrepresentation of self. r. Soliciting or assisting another in an act violating the Student Code of Conduct. s. Use, possession, or distribution of alcoholic beverages and /or illegal narcotics/drugs. t. Unauthorized recording, dissemination, and publication of academic materials in any medium. u. Threatening actions or force to injure, intimidate or oppress because of race, color, religion, ancestry, national origin, disability, gender, or sexual orientation. v. Academic dishonesty: Falsification, plagiarism, cheating, and fabrication. w. Violation of Copyright Laws. x. Electronic devices used in an Externship/Clinical setting. y. other (Please provide detailed description below) Other: (Please provide detailed description below)Please provide a detailed description of the incident/concern using specific concise, objective language (who, what, where, when, and why)(Required)What actions have you taken regarding the violation?(Required)Supporting Documentation: Please provide documents related to the reported incident. (128MB maximum total size. Attachments require time to upload so please be patient after submitting this form.)Max. file size: 1 GB.CAPTCHA
