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Arnold School of Public Health

Individual Referral Form

Individuals (i.e., Faculty, Staff, Students, or members of the community) may use this form to bring to the attention of the Program Director any behaviors by a faculty or staff member or student that are inappropriate or unprofessional. (If you have a concern regarding the Program Director, please contact the Chairperson of the Department of Exercise Science 803-777-7680). This referral may be made anonymously or when possible the individual completing the form should identify themselves so that action taken may be reported.

*Required fields

Behavior that is of concern (select one or more)

Challenge the conventional. Create the exceptional. No Limits.