Campus Conflict Case Review Entry Form
Short Descriptive Title:
Primary Parties Are:
Choose a Role...
Student (Undergrad)
Student (Graduate)
Student Group
Staff
Administrator
Department Chair
Teaching Assistant
Faculty Member
Townsperson
Other
and
Choose a Role...
Student (Undergrad)
Student (Graduate)
Student Group
Staff
Administrator
Department Chair
Teaching Assistant
Faculty
Townsperson
Other
Conflict Topic:
Topic...
Interpersonal
Intergroup
Policy/Procedures
Workplace Issues
Academics
Athletics
Diversity/Race
Other
College/Univ Info:
Pub/Priv...
Public
Private
Type...
Community College/2-Yr College
Liberal Arts
Professional School
Comprehensive University
Research I University
Distance Degree School
Other
Size...
Small
Medium
Large
Description of the Issues in the Case:
Please remember to keep the case anonymous by changing any names or identifying details.
Status of Intake/Intervention Efforts:
Describe intervention efforts to date in this area. Help reviewers understand what has been done so far to address the conflict.
Special Issues or Challenges:
Discuss the issues or forces may make the case challenging and describe any potential red flags intervenors have noted.
Questions for Reviewers to Address:
Put particular questions you would like feedback on in this space.
Entries will be reviewed by staff prior to posting.
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Page Last Updated 4/29/04
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