Forms

Preconference Form – This form should be completed by the accused student before their appointment date
with Conduct Authority. This form is used for both Housing and Student Advocacy and
Accountability violations.
Conduct Appeal Form – Students may request a review of their case and hearing outcomes.
Case Process – A chart explaining the flow of a complaint through the conduct case process.
Advisor’s Role – This form should be completed by the student if they choose to have someone present
with them at the Disciplinary Conference or Hearing.
Hearing Board Guide – Explains the hearing process and assists the complainant and respondent with their
roles and participation in the grievance process.

Authorization to release information to and from the Office of Student Advocacy and
Accountability – This release represents your written consent to disclose Student Conduct Records
maintained by Southeastern Louisiana University to designated parties.
Students transferring to Southeastern Louisiana University – This form must be completed by the appropriate official that handles conduct administration
at the college or university that you are transferring from. Your application for
transfer admission will not be processed until this form is returned.
Students transferring to other Universities/Colleges – This form must be completed by the Office of Student Advocacy and Accountability
at Southeastern Louisiana University before you transfer to another college/university.

Campus Wellness Acknowledgement Form – This must be filled out by the student as they return to campus from a hospital
stay in order to assist in their return to campus.
Mental Health Assessment – This form is to be completed by a Licensed Mental Health Professional (i.e. Psychiatrist,
Medical Psychologist, Clinical Psychologist, Mental Health Nurse Practitioner, or
Medical Doctor). Please call (985) 549-2213 for any concerns regarding the procedures.

Educational Service Verification – To be completed by the Educational Service Project Leader to verify that service
work was completed.
Counseling/Treatment Verification – This form is to be provided to a licensed mental health provider by the student
and returned to our office. Discharge must be completed in order to meet the sanction
requirement.
Substance Abuse Subtle Screening Inventory (SASSI) – Student may present this form to the mental health professional administering the
SASSI assessment to show successful completion and recommendations.
Educational Assignment Guide for Informal Resolutions – Students are provided a menu of educational assignments to choose from, allowing
them to participate in developing their own individualized learning plan.
Reflection Paper/Written Assignments – The purpose of this assignment is to engage the student in purposeful thought about
decision-making, decision traps, habits, and how to make positive choices.
Residential Guidebook Worksheet
Assertiveness Inventory

Graduate Assistants (AA) – This form is for students who would like to apply for Graduate Assistant position
in the Office of Student Advocacy and Accountability.
For employment questions, please contact the Office of Student Advocacy and Accountability
at (985) 549-2213 or [email protected]