Reporting Forms

Massasoit Community College uses the Maxient software program for a centralized approach to reporting and recordkeeping. This helps to ensure timely intervention as well as appropriate tracking and follow-up on concerns.

Please be aware that these forms are not to be used in an emergency. If this is an emergency, please call Massasoit Police at 508-588-9100 x1296 or 9-1-1 from a campus landline.

Online reports may be made by anyone through the following links:

Referral Form
This form is used to report concerning student behaviors, alerting staff to students who may be struggling with serious behavioral concerns.
Student Conduct Referral Form

This form is used to report alleged violations of the Student Code of Conduct.

Sexual Misconduct (Title IX) or Discrimination Reporting FormThis form is to be used for reporting information necessary to initiate an investigation of alleged discrimination, harassment, sexual or gender-harassment, sexual assault, or other sexual violence, stalking or retaliation pursuant to the Policy on Affirmative Action, Equal Opportunity & Diversity (PAA) and/or the Student Code of Conduct.
Student Complaint
Reporting Form
This form can be used to share complaints concerning alleged violation of student rights as stated in the College's Student Handbook and/or Policy Guide.
Grade Appeal
Request Form
This form may be used to request a grade appeal.
Report an Access Concern FormThis form may be used to report a physical or technological barrier which restricts or could restrict access to campus programs, facilities, or events.