PART B Student Documents
Student Signature:
Part B must be completed by the student with identified professionalism concern within ten business
days from submission of Part A. Part B should be submitted to for
review by the Professionalism Committee at their next scheduled meeting. Failure to submit Part B in
time will result in the committee continuing to evaluate concern without Part B.
Please document your account of the professionalism concern described above and the discussion that
took place that was described in Part A.
Student Comments:
Part B: Page 1 of 1
False Allegations
Intentionally making false accusations can have a negative impact on the individuals involved and the
community. An individual who knowingly and intentionally files a false complaint under this policy is
subject to discipline.
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