Reporting Forms

Massasoit Community College uses the Maxient software program for a centralized approach to reporting and record keeping. This helps to ensure timely intervention as well as appropriate tracking and follow-up on concerns.

Please be aware that these forms are not to be used in an emergency. If this is an emergency, please call Massasoit Police at 508-588-9100 x1296 or 9-1-1 from a campus landline.

Online reports may be made by anyone through the following links:

• CARE Team Referral Form
  This form is used to report concerning student behaviors, alerting staff to students who may be struggling with serious behavioral concerns
• Student Conduct Incident Report
  This form is used to report alleged violations of the Student Code of Conduct (PDF).
• Sexual Misconduct (Title IX) or Discrimination Reporting Form
  This form is to be used for reporting information necessary to initiate an investigation of alleged discrimination, harassment, sexual or gender-harassment, sexual assault, or other sexual violence, stalking or retaliation pursuant to the Policy on Affirmative Action, Equal Opportunity & Diversity (PAA) and/or  the Student Code of Conduct (PDF).
• Academic Honesty Violation Report
  This report is designed for faculty to report incidents of academic dishonesty in their class.
• Student Complaint or Grievance Report
  Students can use this form to share feedback about their experience at Massasoit Community College.
• Grade Appeal Request Form
  This form may be used to request a grade appeal.
• Report an Access Concern Form
  This form may be used to report a physical or technological barrier which restricts or could restrict access to campus programs, facilities, or events.
• Student Absence Notification Request
  Students who will be absent for more than three (3) class hours may request that a Student Absence Notification be sent to their faculty members. Documentation of the absence will be required before a notification will be sent to faculty.
• Preferred/Chosen First Name Form
  Students may use this form to request a preferred/chosen first name change. The College recognizes that some students may prefer to use a first name other than their legal name to identify themselves.
• College Report/Verification Request
  Please use this form to request that the Dean of Students Office complete a College Report or Disciplinary Verification for another school.