File a Report or Complaint

This form is used to submit a copy of your COVID-19 vaccination documentation.

Employee Vaccination Form

Student Vaccination Form

This form is used to submit a copy of your COVID-19 testing documentation. 

Student Weekly COVID-19 Test Results Form

This form is to be completed by Kishwaukee students, faculty and staff to self-report potential exposure to an individual with COVID-19.

REPORTING FORM FOR SYMPTOMS OR POTENTIAL EXPOSURE TO AN INDIVIDUAL WITH CORONAVIRUS (COVID-19)

This form is to be completed by Kishwaukee students, faculty and staff to self-report a diagnosis of COVID-19. A diagnosis of COVID-19 is confirmed with a positive COVID-19 test.

REPORTING FORM FOR AN INDIVIDUAL WITH CORONAVIRUS (COVID-19)

This form is used to report a student violation of the Code of Conduct, a general incident or threatening behavior. View our Student Code of Conduct.

Code of Conduct Violation Form

This form is for faculty to report incidents of cheating, plagiarism or other academic misconduct identified in the Student Code of Conduct.

Academic Dishonesty Form

Visit the Title IX page for more information on submitting a report.

Sexual Misconduct, Title IX, Harrassment Report

Kishwaukee College does not discriminate on the basis of race, color, national origin, sex, disability, religion, sexual orientation or age in educational programs, activities, services or employment practices, including career and technical educational (CTE) opportunities. The lack of English language skills will not be a barrier to admission and participation in CTE programs.

Section 504 Nondiscrimination and Grievance Report

This form is to report your observation or concern for a student exhibiting academic difficulty, excessive absences from class, financial issues, injury/illness, personal wellness, unusual behavior or other issues requiring attention.

Student of Concern Form

This incident report is to document all student and student-athlete injuries and accidents. An incident report should be completed at the time an incident occurs, no matter how minor the injury is. 

Student/Student-Athlete Injury Report Form

This incident report is to document all workplace injuries and accidents. An incident report should be completed at the time an incident occurs, no matter how minor the injury is.

Employee Injury Report Form

This form should be used to submit a formal student complaint when a student or student representative has a written concern or charge of dissatisfaction with a person, service or process at the College. View the Student Complaint Procedure.

1. Students should always first attempt to resolve issues through an informal process with the faculty or staff person involved. 
2. When appropriate, the student is encouraged to talk directly to the faculty or staff member prompting the complaint in an effort to resolve the issue.
3. If the student prefers to talk to someone other than the direct faculty or staff member involved, they are encouraged to present the complaint to their assigned academic advisor/counselor or case manager. To make an appointment with an assigned academic advisor, stop by the Student Services Office in C2100 or contact the office at 815-825-9375 for more information.
4. If a student is unable to resolve the issue informally, they can choose to file a formal complaint.

Formal Student Complaint Form

This form is only to be used if you have been identified as a Kishwaukee College Campus Security Authority (CSA). The form is required to be completed by CSA’s when a student or employee discloses a Clery Act Crime has been committed on campus or at one of our identified off-campus locations per our identified geography.

CAMPUS Security AUTHORITY Reporting Form