Community Standards Code Incident Report

As members of the Lourdes University community we have rights and responsibilities. These rights and responsibilities help us to create an atmosphere of concern and caring, one conducive to the teaching/learning process. We are committed to providing a fair and equitable conduct process that values educational sanctions. We value the integrity of each person as well as the importance of community and as such seek to balance the common good with the needs of the individual.

The Community Standards Code was developed to help define the rights and responsibilities of the Lourdes University community members.

Name of Student
Contact Number
Date of Incident
MM slash DD slash YYYY
Time of Incident
Date of Report
MM slash DD slash YYYY
Description of Incident
Witness(es), if any
Name of Person Completing Form
Contact Number of Person Completing Form
Email of Person Completing Form
Date Form Was Completed
MM slash DD slash YYYY
Tenet(s) of Student Code of Conduct violated (if applicable)
Incident Follow-Up
Student Name Follow-up
Date of Follow-up
MM slash DD slash YYYY
Follow-up
- No Action Taken
- Action Taken (See Below)
Action Taken