Faculty Handbook
Inappropriate Behavior in the Classroom Form
| It is a violation of the CSU Student Code of Conduct and Statement of Judicial Procedures for students to exhibit inappropriate behavior in the classroom. The below form is encouraged to be used by faculty members for incidents that involve disruption or obstruction of teaching, research or other academic or administrative activities. Please send this form to the Dean of Student Affairs office, attention University Judicial Officer. | |||
| Faculty Member’s Name/Department | ________________________________________________________________ | ||
| Faculty Extension: | ________________________________________________________________ | ||
| Date/Time of incident: | __________________________________ | Course/Location: _______________________ | |
| Name of Student: | __________________________________ | Student ID #______________________ | |
| Please use the back of this form or attach a narrative of the inappropriate behavior and the intervention that may have happened in your classroom. | |||
| Professor sent to University Judicial Officer on: |
________________________________________________________________ | ||
| Professor’s signature | ________________________________________________________________ | ||
| BELOW IS FOR OFFICE USE ONLY | |||
______________________________________________________________________________________ |
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| University Judicial Officer Received on: |
________________________________________________________________ | ||
| University Judicial Officer Spoke to Professor on: |
__________________________________ | Student on: _______________________ | |
| Case closed on: | __________________________________ | ||
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