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Student Conduct Incident Report, New York


This form in NOT intended as an emergency response. If you are witnessing an emergency situation or reporting an incident that poses an imminent risk of harm to one or more persons, please call 911.

New York Film Academy respects the sensitivity of the information that will be disclosed in this report and will make all reasonable efforts to protect the privacy of individuals involved and identified in this report.

Should the information provided in this report suggest that a student behavior(s) presents a serious safety risk to an individual or the NYFA community, a priority will be placed, not on sensitivity to privacy, but on gathering critical information and taking actions necessary to protect the community.

Reporter/Complainant Information

 
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Involved Parties

Please provide the name of the student whose behaviors you are reporting (respondent). Please also list the names of witnesses ( students, faculty, and/or staff) to the reported incident.

Involved party 1

Incident Details

As the complainant, I verify that the information I present in submission of this Student Conduct Incident Report Form will be true and accurate to the best of my knowledge. I understand that the information provided, including my name, may be released to the Respondent as part of the student conduct process and that a disciplinary hearing may occur to address the allegations that have been made.

Please indicate the item()s of NYFA Student Code of Conduct that has/have been violated, in your opinion, by the named respondent on account of the observed behaviors you will describe. Check all that apply.(Required)
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Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission