Owen Center for Teaching & Learning
Owen Center for Teaching & Learning
Title
Type
Audience

Report University Related Conduct Violations/Incidents on the Incident Communication Form (ICF).

Students, Faculty, and Staff:

Directions for completing an Incident Communication Form (ICF):

Involved Parties:

Select the type of involved party (Individuals or groups) by clicking the appropriate box.

Under the "Name" box, type the last name of the person you are looking for.  A list of active students/staff member names will populate below the box for you to choose the appropriate person.  Next, under the "Role" box, select the role of the person selected.  There are 3 options: Responding party or person accused of violation; Reporting party or person identified as victim; or other (witness).  If additional Responding party or Reporting party members are involved, click the "+ Add another" link and complete the same steps as above.

Incident Information:

Choose the type of incident or report form you'd like to submit. There are 4 types of forms available.  

1. FYI is general incident form that should be used when something occurs that is NOT a violation of the Student Code or Federal/State/City law.  These may include items like vehicle damage, lock outs, or other notifications that should be documented that may lead to other issues.

2. Conduct is any violation of Federal/State/City/University policies

3. Title IX is any violation of Heidelberg's Sexual Discrimination Policy

4. Accommodations are supports or services provided on Heidelberg's campus so qualified students with disabilities have equal access and opportunities to benefit from classes, programs and/or campus activities. Further information about accommodations at Heidelberg can be found under Accommodations.

Once an Incident Type has been selected, specific questions will populate below.  Complete the information boxes as directed on the form.  If there is not a specific box that addresses your need, please include that information in the "Incident Details" section of the form.  

Supporting Documentation:

Once all involved party and incident information is provided, this section of the ICF allows for any supporting documentation to be uploaded, including medical documents, accommodation forms, incident pictures, text messages, emails, etc.

Things to remember:

  • Fill out the form as soon as the incident is over.
  • Write factual statements - leave out opinions unless backed by fact.
  • Correctly spell all names of person(s) involved.
  • Make sure all addresses and phone numbers are correct.
  • Write in complete sentences and spell all words correctly.
  • Try not to use too many "he/she" or their plurals - use names.

Release of Information for the Office of Student Accessibility Services

Contact Information

Campus Center 314

419-448-2301
Hours

Mon - Fri: 8:00am - 5:00pm

Our Team

Steven Borawski
Title III Project Director
Heidelberg University
David Briggs
Academic Advising Coordinator
Heidelberg University
David Briggs
Erin Chapman-Hoskins
Director Academic Advising
Campus Center 313
(419) 448-2479
Erin Chapman
Courtney DeMayo Pugno
Assistant Vice President for Academic Affairs|Executive Director of the Owen Center for Teaching and Learning|Associate Professor of History
Campus Center 316
(419) 448-2510
Courtney DeMayo Pugno
Rebecca Frank
Director of Faculty Development and Instructional Technology
Heidelberg University
(419) 448-2460
rebecca taylor
Amy Hammitt
Administrative Assistant for the Owen Center and American Junior Year Program
Campus Center 315
(419) 448-2301
Morgan Harrigan
Director of Academic Support|Senior Woman Administrator
Campus Center 315
(419) 448-2159
Morgan H
Alyssa Kontak
Coordinator of Student Accessibility Services
Campus Center 314
(419) 448-2484
Alyssa Kontak