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Reporting Forms for Campus Incidents and Concerns

CCAC is committed to providing a safe, welcoming and equitable campus for all students, staff members, faculty, administrators and visitors. The student handbook outlines CCAC’s policies that are necessary to maintain these values.  When incidents occur that violate these policies or there are concerns for a student’s wellbeing, it is important that we, as community members, report these incidents or concerns.

Below are the many areas in which we can share this information.  When you submit information through any of the report forms below they are routed to the individuals at CCAC who are best equipped to address and bring resolution to these incidents or concerns.  After you have submitted a report, you may be contacted to discuss the incident or clarify any additional information.    

Please take a moment to carefully read each area so that your concerns are shared with the appropriate offices.

The Student Academic Complaint Procedure is available to students who have concerns about academic matters such as, but not limited to, course requirements and grades. 

If a student feels as though they have been discriminated against related to a protected class such as their sexual orientation, race, ethnicity, disability or any other discrimination, they should fill out the form under Civil Rights and Title IX. 

Review the Policy
Academic Rules & Regulations


Faculty should use this form to document and report both informal and formal academic misconduct violations as outlined in the Student Handbook.  Please attach supporting documentation and a copy of the course syllabus to the submission.


Report Civil Rights/Title IX allegations or concerns, including discrimination, harassment, sexual harassment, and sexual misconduct (sexual assault, domestic violence, dating violence, and stalking). In the event of an emergency, call Campus Security.

Submit your Concern
OCR/Title IX Form


Reports of potential or known exposure to COVID-19 will be investigated by the Dean of Students, students will be directed to appropriate resources and all health related and personal information will be kept confidential.

For additional information
COVID-19 resources

Submit a report
COVID-19 Report Form


The CCAC Student Code of Behavioral Conduct is designed to uphold the policies of the Student Code of Conduct if a student is accused of violating campus policies.

Submit your Concern
Incident Report


The CARES Team (Coordinated Assistance, Resources & Extra Support) can assist students who are experiencing a crisis or exhibiting concerning behavior. Examples of concerns include a student mental or physical health issue, financial or material need, and home or family concerns In the event of an Emergency call Campus Security.

Submit your Concern
Incident Report