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C.A.R.E. Incident Report

Consultation Assessment Resources Education


The C.A.R.E. Incident Report form can be used by faculty, staff, and students. The purpose of using this form is to alert the MC C.A.R.E. Team of concerning behavior displayed by a student in class, at a Midland College event, or on any of the Midland College campuses.
 
Types of behavior to report include, but not limited to: behavior targeting others, disorderly conduct/disruptive behavior, drugs and alcohol, student(s) in need (Support Our Students - SOS), MC property damage, misuse of MC Technology, sexual harassment, suicidal comments, or any other types of behavior that may need to be addressed by the C.A.R.E. Team.

 

* Indicates a required field


Contact Information

(###) ###-####



Incident Information

Please be specific. Location, building, room, etc.



Involved Parties

Please list the individuals involved (excluding yourself), including as many of the listed fields as you can provide. If a non-student is involved, list as much information as you can under NAME or ORGANIZATION.

MM-DD-YYYY

Please provide a detailed description of the incident/concern using specific, concise, and objective language (who, what, where, when, why, and how)



Supporting Documentation


If you have photos, video, email, or other supporting documents, please send as an email attachment to: care@midland.edu.

 

 

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