Incident Report

Faculty and Staff are strongly advised to report any type of behavior or threat of behavior that could threaten the well being of any student and/or may materially disrupt the Sam Houston State University Community.

If a student feels comfortable confiding in the faculty or staff member about suicidal ideation, self injurious behaviors, or materially disrupting the University community, then the faculty or staff member is strongly advised to report that information. Any information received via e-mails, list serves, blogs, blackboard postings, and social on-line networking sources (e.g., Facebook, AIM or Myspace) also should be reported as soon as possible.

A faculty or staff member should NEVER make a promise of confidentiality to a student regarding these matters.

Incident Report Form


Please provide below a detailed description of the incident involving the above mentioned student of concern. Be as specific as possible utilizing concise and objective language. Please forward any hard copy documentation to the Dean of Students' Office Box 2508 Attention: Dean Yarabeck. Please contact the Dean of Students' Office at 936-294-1785 with any additional questions.*


Sam Houston State Logo

Sam Houston State University | Huntsville, Texas 77341 | (936) 294-1111 | (866)BEARKAT Member TSUS
© Copyright Sam Houston State University | All rights reserved. | Contact Web Editor