EmailMe Form - Misconduct by Other Students

Your Name *

First Last

If you wish to make an anonymous complaint, contact the Advising/Counseling Center at 360-623-8967 to schedule an appointment with a confidential counselor.

Your Phone *

### - ### - ####

Your Email *

Name and/or Description of Student Being Referred *

If you know the name of the student, please include that here. If you do not know the student's name, please provide as much description as possible to help with identification.

Nature of Complaint/Concern *

Describe the behavior or action of the student in detail. Include names, dates, times, and locations to the best of your ability.

Documentation Upload

Please upload any relevant evidence.

Witnesses/Contacts

Please list the names and contact information of any other witnesses or individuals who may be contacted for additional details.

What action are you seeking? *

This report is submitted for information only.

I wish to be contacted for a follow-up.