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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