Incident Reporting

Surry Community College uses online reporting forms for Code of Student Rights and Responsibilities violations as well as other student conduct concerns, listed below. In the event of an emergency, please call 911.

Contact Info

Dr. Melissa Recknor

Associate Dean of Student Services | Deputy Title IX Coordinator

(336) 386-3628

recknorm@surry.edu

Report an Incident or Concerning Behavior

General Concern Form

Use this form if you experience a problem at SCC and wish to report it as a ​concern.

Submit a Report

Student Counseling and Mental Health Form

Use this form to provide information about a student who is exhibiting behaviors that are of concern in relation to their personal (e.g., food or housing insecurity), physical or emotional well-being.

Submit a Report

Student Behavior Reporting Form

Use this form to provide information about student behaviors or violations that include, but are not limited to, drug and alcohol possession, disorderly conduct or disruption, assault, harassment, physical violence, or other violations of campus policies, regulations, or rules.

Submit a Report

Relationship or Interpersonal Violence, or Sexual Misconduct (Title IX)

Faculty and staff ​may report violations of interpersonal violence. This includes dating violence, domestic violence, hazing, sexual harassment, sexual misconduct, stalking behaviors, or any discrimination based on sex.

Dr. Ashley Morrison, Senior Vice President/Chief Academic Officer  | Title IX Coordinator will address interpersonal violence concerns.

Submit a Report

Take the Next Step