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IWU Person of Concern Form

Thank you for taking time to report your concern about a member of the university community. This report will be reviewed by the Dean of Students/Associate Dean of Students and follow up will be structured to respond to your concern within 24-hours. If there is an immediate need for attention, please call 9-1-1, Security x1111 or the Dean of Students office x3111.

Describe your concerns:
Name *
Address
Year
Contact Information
Describe the behaviors that raised your concern:

Have you reported this behavior to anyone else?
Yes No Who?

Your information:
Please provide your information, in case clarification is needed and to keep you informed about our response:
Name *
Contact Information
* indicates a required field.