The following form is intended for anyone to report a complaint, concern, or incident. The appropriate department and/or staff member will follow-up with you regarding your report. Please note, information will be kept confidential as much as possible depending on the nature of the report.

Type of Report Being Submitted

Report Types

  • Academic Complaint or Concern: Complaint and/or concern about an academic program, course, grade appeal, or instructor.
  • Accident: Report of bodily harm as the result of an accident or incident on Southwest Tech property.
  • Employee Complaints: Complaint about a Southwest Tech employee.
  • Employee Concerns: Concern for the health and/or safety of a Southwest Tech employee.
  • Facility and Operational Complaints or Concerns: Complaint and/or concern about a facility or college operation/service.
    (Examples: icy sidewalk or unreturned phone call)
  • Student Academic Misconduct: Allegation of a student violating the Academic Integrity expectations of Student Code of Conduct, Student Handbook, or program handbook.
    (Examples: cheating, plagiarizing, asking another student for test questions and/or answers)
  • Student Behavioral Misconduct: Complaint and/or concern about a student violating the Student Code of Conduct or Student Handbook.
    (Examples: bullying/cyberbullying, disruptive behavior, or fighting)

All fields are required unless stated.

Reporting Party Information

The information below pertains to the person reporting the issue.

Information for person of concern

You Must Choose what the complaint or concern is regarding.

The information below pertains to the person of concern.

Please add a description of your complaint or concern.

Incident Information
Incident Information

Relationship to Southwest Tech

You Must Choose a Relationship to Southwest Tech.

Have you injured this body part before?

You Must Choose Yes or No.

Type of Injury/Exposure: Check all that Apply

You Must Choose an Injury/Exposure

Nature of Incident: Check all that Apply

You Must Choose the Nature of the Incident.

Do you plan to seek medical attention?

You Must Choose Yes or No.