WHISTLEBLOWER FORM

Southeast Technical College (STC) is committed to upholding the highest standards of legal and ethical conduct. We expect all members of the STC community to comply with STC policies, South Dakota Codified Laws, and Federal Laws and Regulations.  This form is intended to encourage STC employees, students, and the public to report, in good faith, any suspected violations of STC policy, legal infractions, dishonesty, fraud, or other misconduct.  Furthermore, it aims to protect individuals who make such reports from any form of retaliation.

STC will investigate all reports of alleged violations and misconduct through the Office of the President and/or the Office of Human Resources. Investigators will be trained in conducting investigations and will be free from any conflicts of interest. To ensure impartiality, STC may engage outside legal counsel or investigators. Law enforcement may be involved in cases where legal violations are suspected. 

All reports received by STC, and the subsequent investigations, will be kept confidential to the extent possible. While the nature of the investigation or its results may necessitate the release of information to appropriate entities, any unauthorized disclosure of information related to the report or investigation by STC personnel will be treated as a serious offense and may result in disciplinary action. 

STC will make every effort to ensure that individuals who report suspected wrongdoing are protected from retaliation. Any employee or student who retaliates against another individual for making a report or participating in an investigation will be subject to disciplinary action.

STC requires substantial information and evidence to conduct thorough investigations. This includes documents, witness statements, and other specific and relevant information to corroborate the allegations. 

REPORT INFORMATION

Unless otherwise declared on this form, all information will be submitted anonymously to Southeast Technical College. The President, the Director of Human Resources, and the Compliance Officer & Title IX Coordinator will review and investigate all incidents reported.  We appreciate your confidence and discretion while the process is completed.

INVOLVED PARTY

Please list the name(s) of the individual or party involved in the incident or event and their relationship to the school.

1) 

Add another?

2)

Would you like to add another individual or party? 

3)

Would you like to add another individual or party?

4)

Would you like to add another individual or party?

5)

Would you like to add another individual or party?

6)

Would you like to add another individual or party?

7)

Would you like to add another individual or party?

8)

Would you like to add another individual or party?

9)

Would you like to add another individual or party? 

10)

INCIDENT INFORMATION

When did you become aware of the wrongdoing? 

Which wrongdoing occurred? 

Other Wrongdoing

Where did this happen?

When do you think this started?

What do you believe enabled this to happen?

Please provide a narrative of what occurred. 

WITNESS AND DOCUMENTATION

If possible, please list any potential witness's name, position and contact information

Witness 1)

Witness 1 Contact

Would you like to add another Witness?

Witness 2)

Witness 2 Contact

Would you like to add another Witness?

Witness 3) 

Witness 3 Contact

Would you like to add another witness?

Witness 4) 

Witness 4 Contact

Would you like to add another Witness?

Witness 5) 

Witness 5 Contact

SELF DISCLOSURE

If comfortable with discussing further, please enter your name here: 

What telephone number would be best to reach you? 

What is your email address? 

At this time, we are unable to include an option to upload files.  Should you wish to submit documentation, please choose one of the following: 

EMAIL: compliance@southeasttech.edu and/or hr@southeasttech.edu

MAIL: ATTN: Compliance Office 2320 N Career Avenue Sioux Falls SD 57107

(Employees may send documents to the Compliance Office via interoffice mail)