Reporting a Concern

These report forms are designed to allow any University community member to fill it out and provide as much detail as possible.

Each form addresses different areas. Please feel free to reach out if you have any questions regarding the report forms. Don’t worry if the form you filled out was meant for a different department we will route it to the correct one.

Reporting Forms

Report Academic Integrity Violation

Academic integrity violations are behaviors that include, but are not limited to, cheating, plagiarism, fabrication, facilitating academic dishonesty, misconduct in research and creative endeavors, misuse of intellectual property, or multiple submission.

Report Accident/Injury

This form is for reporting all accidents, injuries, or near-miss incidents occurring on Florida Polytechnic University property or during university-sponsored activities. Your prompt and accurate reporting is crucial for ensuring the safety and well-being of our community, complying with safety regulations, and improving our campus environment.

Report an ADA Accessibility Barrier

Any accessible barrier, including physical or digital barriers may be reported. The ADA Coordinator works to address these concerns.

Report Concern for a Student

Students, employees, and community members are encouraged to use the online referral form below to refer a student to CARE Services and report a concern for a student’s well-being.

Report Harassment, Discrimination & Retaliation

Any applicant, employee, or student who believes they have been discriminated against or harassed based on a protected class. Further information on Non-Discrimination.

Report Hazing

If you have witnessed or have knowledge of a potential hazing incident, please report it immediately.

Report Non-Academic Misconduct (Student Code of Conduct)

Non-academic violations are behaviors that include, but are not limited to, alcohol, disorderly conduct, drugs, hazing, harassment, physical violence, or other violations of university policies, regulations, or rules.

Report Sexual Misconduct

Sexual misconduct includes, sexual assault, sexual harassment, intimate partner violence (dating violence and domestic violence), or stalking behaviors. The Title IX Office works to address these concerns.

Student Complaint Process

Students can express thoughtful concerns where no other forum exists and to provide a final appeals pathway for processes that either do not have an appeals pathway or where existing pathways have been exhausted. More information on the Student Complaint and Appeals Process.

Residential Life (For use by Residential Life Student Staff Only)

This is the exclusive reporting form for Residential Life student staff members.

Campus Recreation (For use by Campus Rec Student Staff Only)

This is the exclusive reporting form for Campus Rec student staff members.