ࡱ> OQN .bjbjGG *B--UzzJJJJJ^^^^4^.mH1333333, _9J_JJ JJ11@(0  JH__ z :   Community Standards and Student Conduct 022 Student Union (937) 775-4240 WRIGHT STATE UNIVERSITY Incident Report Incident date: FORMTEXT      Time: FORMTEXT      Location FORMTEXT       Individual(s) being documented:NameAddressUID (1) FORMTEXT       FORMTEXT      UID:  FORMTEXT      (2) FORMTEXT       FORMTEXT      UID:  FORMTEXT      (3) FORMTEXT       FORMTEXT      UID:  FORMTEXT      (4) FORMTEXT       FORMTEXT      UID:  FORMTEXT      (5)  FORMTEXT       FORMTEXT      UID:  FORMTEXT      Please provide an objective and detailed account of the incident (if additional space is needed, use incident report addendum)  FORNPrt   ( * 8 < H J ^ ` b l n r      $ ӯӯ取h(h(5 hkS5>* hII5>* hII5CJjhIIUjhIIUmHnHuj`hIIUjhIIUjhIIU h*5 hII\ hII5 hII5CJ hT5CJhIIhT0Pt : < H p r $If$a$ ^` @ ^@ `!%t &#$+D/!%t  GE?$Ifkd $$IflִFN : ,*    4 la     $IfgdkS $$Ifa$gd*$If<kd$$Ifl4@***4 laf4  $ L N v x yssssss$Ifkd8$$Ifl@rX f!*&$ *4 la$ & : < > H J N P d f h r t     ( * , 6 8 : < tjDh(h(5Ujh(h(5Ujh(h(5U h(5jth(h(5Ujh(h(5U#jh(h(5UmHnHujh(h(5Uh(h(5jh(h(5U-   : f``````$Ifkd$$IflMֈhX f!*R$ *4 la: < D l n f``````$Ifkd$$IflֈhX f!*R$ *4 la< D F Z \ ^ h j n p    " $ 2 4 H J L V X Z sjh(h(5Ujh(h(5Uj9h(h(5U h(5j(h(h(5Ujh(h(5U#jh(h(5UmHnHujhh(h(5Ujh(h(5Uh(h(5- & ( Z f``````$Ifkd$$IflֈhX f!*R$ *4 laZ \ f f``````$Ifkdc $$IflֈhX f!*R$ *4 laZ d f h | ~ * ****** *++򟚓zlf hIICJjhIIUmHnHuj< hIIUUhIIjhIIU hII5CJ hII5h(j h(h(5Ujj h(h(5U#jh(h(5UmHnHuj h(h(5Ujh(h(5Uh(h(5 h(5( f```$Ifkd4 $$IflֈhX f!*R$ *4 la * *++b\R $If^]4kd $$Ifli*+4 la$If_kd $$IflFX f!* $ *    4 laMTEXT      I give my consent to have my name released as the author of the above report and understand that no judicial action can be taken if I do not include my name and signature below. Witnesses:NameAddressPhone #(1) FORMTEXT       FORMTEXT       FORMTEXT      (2) FORMTEXT       FORMTEXT       FORMTEXT       Report filed by:NameAddressPhone #(1) FORMTEXT       FORMTEXT       FORMTEXT       Signature Date Distribution: 1 Copy - Student 1 Copy  Office of Community Standards and Student Conduct +++++++++++++++++,,,,",$,&,(,*,>,@,B,L,N,P,Z,\,p,r,t,~,,,,,,,,,,,,,,,,,,,,, hII5CJj5hIIUjhIIUjwhIIUjbhIIUjhIIUjhIIUmHnHuj hIIUjhIIUhII hII5 hII5>*9+++++++$If$If7kd $$Ifl4**4 laf4+++++&,(,P,~tnnnnn$If $If^kd, $$Iflr\ :!* h:<P 4 laP,R,Z,,,,,,ka[[[[[$If $If^kd$$Iflֈh\ :!* h:<P 4 la,,,,,kic&<kdJ$$Ifl4**4 laf4$Ifkd$$Iflֈh\ :!* h:<P 4 la,,,,- ---,-6-8-L-N-P-Z-\-^-`-b-v-x-z---------------,...hTCJaJh3hIICJaJhkShII5 hkS5jhIIUjqhIIUjhIIUmHnHujhIIUjhIIUhII hII5>* hII5&,- ---,-.-6-^-`---mc $If^kd$$Iflr\ :!* h:<P 4 la$If$If -----`&9kd$$Iflh*")4 lakd0$$Iflֈh\ :!* h:<P 4 la$If--.p^pgdkS(/ =!"#@$% `DText10`DText11`DText23$$If!vh#v#v#v#v#v#v#v#v:V l55555555/ / / 4I$$If!vh#v*:V l4@*5*4f4{$$If!vh#v&#v#v#v#v$ :V l@*5&5555$ 4`DText22_DText5jD$$If!vh#v#vR#v#v#v#v$ :V lM*55R5555$ / / 4`DText22_DText5jD$$If!vh#v#vR#v#v#v#v$ :V l*55R5555$ / / / 4`DText22`DText22jD$$If!vh#v#vR#v#v#v#v$ :V l*55R5555$ / / 4`DText22`DText22jD$$If!vh#v#vR#v#v#v#v$ :V l*55R5555$ / / 4`DText22`DText22jD$$If!vh#v#vR#v#v#v#v$ :V l*55R5555$ / / 4_$$If!vh#v #v#v$ :V l*5 55$ 4`DText20C$$If!vh#v+:V li5+4I$$If!vh#v*:V l45*4f4{$$If!vh#v #vh#v:#v<#vP :V l5 5h5:5<5P 4ZD_DText5`DText17$$If!vh#v#v #vh#v:#v<#vP :V l55 5h5:5<5P / / / 4_DText4_DText5`DText18$$If!vh#v#v #vh#v:#v<#vP :V l55 5h5:5<5P / / / 4I$$If!vh#v*:V l45*4f4{$$If!vh#v #vh#v:#v<#vP :V l5 5h5:5<5P 4_DText4_DText5`DText19$$If!vh#v#v #vh#v:#v<#vP :V l55 5h5:5<5P / / / 4V$$If!vh#v"):V l5")/ 46666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmH nH sH tH 8`8 Normal_HmH sH tH V@V  Heading 1"$&#$" /+D@&5CJB@B  Heading 2$@&^5>*DA`D Default Paragraph FontVi@V  Table Normal :V 44 la (k (No List 2"@2 Caption5CJLC@L Body Text Indent ^5CJ66  Footnote Text@&!@ Footnote ReferenceH*H@2H * Balloon TextCJOJQJ^JaJPK!pO[Content_Types].xmlj0Eжr(΢]yl#!MB;.n̨̽\A1&ҫ QWKvUbOX#&1`RT9<l#$>r `С-;c=1g'}ʅ$I1Ê9cY<;*v7'aE\h>=,*8;*4?±ԉoAߤ>82*<")QHxK |]Zz)ӁMSm@\&>!7;ɱʋ3װ1OC5VD Xa?p S4[NS28;Y[꫙,T1|n;+/ʕj\\,E:! t4.T̡ e1 }; [z^pl@ok0e g@GGHPXNT,مde|*YdT\Y䀰+(T7$ow2缂#G֛ʥ?q NK-/M,WgxFV/FQⷶO&ecx\QLW@H!+{[|{!KAi `cm2iU|Y+ ި [[vxrNE3pmR =Y04,!&0+WC܃@oOS2'Sٮ05$ɤ]pm3Ft GɄ-!y"ӉV . `עv,O.%вKasSƭvMz`3{9+e@eՔLy7W_XtlPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-!pO[Content_Types].xmlPK-!֧6 -_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!!Z!theme/theme/theme1.xmlPK-! ѐ'( theme/theme/_rels/themeManager.xml.relsPK]# U B$ < Z +,.   : Z ++P,,,--.  $'39AMSZflo{ %+3?EHTZbnt   &-9?BNTWciUFFFFFFFFFFFFFFFFFFFFFFFFFFFF8@0( D @ CoD B S  ?Text3Text12Text2Text11Text1Text10 Dropdown3Text23Text7Text9Text4Text22Text5Text20Text17Text18Text19{{{{{{{{(*W  %:<U'jWW(9W:  (R II 3)T( kS*UW@ "{4UPP P P*UnknownGTimes New Roman5Symbol3 Arial5 *[`)TahomaACambria Math"hj"j"F  Sj!24SS3HP)?II*!xx ,PK:\OFF_SAES\JUDAFFRS\Forms\Judicial Forms\Various Forms\Incident Report 02-3.dotWRIGHT STATE UNIVERSITYCaTSWeb Coordinator Oh+'0L dp    'WRIGHT STATE UNIVERSITYCaTSP\OFF_SAES\JUDAFFRS\Forms\Judicial Forms\Various Forms\Incident Report 02-3.dotWeb Coordinator2Microsoft Macintosh Word@@D@`_(@`_( ՜.+,0$ px  'ԭ S WRIGHT STATE UNIVERSITY Title  !#$%&'()*+,./0123456789:;<=?@ABCDEGHIJKLMPRoot Entry FA(RData "=1Table- WordDocument*BSummaryInformation(>DocumentSummaryInformation8FCompObj` F Microsoft Word 97-2004 DocumentNB6WWord.Document.8