Faculty Staff Student Complainant Form - Howard University Student Affairs
HOWARD UNIVERSITY OFFICE OF STUDENT CONDUCT & COMMUNITY STANDARDS
(Located In: Office of Residence Life & University Housing Suite)
College Hall South, 2205 4th Street, N.W., Lower Level Washington, D.C. 20059 (202) 806-6131
COMPLAINANT FORM
Please check:
Faculty
Staff
Student
Name
Title
HU ID#
Local Address
Telephone#
Email
School/College
Major
GPA
Name of Accused
HU ID#
Date, time, and location of incident
Please provide a written statement and submit as an attachment.
Section Vl: Prohibited Behavior(s)
Violation:
#
Violation:
#
Violation:
#
Report Filed with University Police: Yes_____No______Date________ Report Filed with Metropolitan Police: Yes________No____________Date__________
Complainant Signature:
Date:
STATEMENT OF COMPLAINANT
SIGNATURE
DATE
................
................
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