Home/ Student Life/ Campus Safety If you see a crime that occurred on campus and you would like to report it, please fill out the form below. You will remain anonymous while helping us protect you and the entire College community. What type of incident occurred? What type of crime occurred? Personal injury Sexual Assault/Harassment Discrimination Hazing Drug Alcohol Property Other Personal injury detail What type of personal injury crime occurred? Assault Murder Enter dates/times when this crime occurred. Enter the exact location or address where this crime occurred. Explain what happened and how. What is the suspect's name? If unknown, describe the suspect (e.g., clothing). (optional) Sexual Assault/Harassment Details What type of sexual assault or harassment occurred? Sexual Assault/Rape Sexual Harassment Domestic Violence Dating Violence Stalking Enter dates/times when this incident occurred. Enter the exact location or address where this incident occurred. Explain what happened and how. What is the accused's name? If unknown, describe the accused (e.g., clothing). What is the victim's gender? Male Female Transgender What is the accused's gender? Male Female Transgender What is the accused's association to the College? Student Employee Not associated Did the victim and accused know one another? Yes No Were the victim and accused in a relationship with each other? Yes No Drug details Enter dates/times when this crime occurred. Enter the exact location or address where this crime occurred. Explain what type of drug activity is occurring or has occurred. List types of drugs involved, if known. What is the suspect's name? If unknown, describe the suspect (e.g., clothing). Alcohol details Enter dates/times when this crime occurred. Enter the exact location or address where this crime occurred. Explain what type of alcohol activity is occurring or has occurred. List types of alcohol involved, if known. What is the suspect's name? If unknown, describe the suspect (e.g., clothing). Property details What type of property crime occurred? Stolen property Damaged property Enter dates/times when this crime occurred Enter the exact location or address where this crime occurred. Explain what was taken or damaged and how. What is the suspect's name? If unknown, describe the suspect (e.g., clothing). Other details What type of criminal activity is occurring or has occurred? Enter dates/times when this crime occurred. Enter the exact location or address where this crime occurred. What is the suspect's name? If unknown, describe the suspect (e.g., clothing). Discrimination details Enter dates/times when discrimination occurred. Enter the exact location or address where this incident occurred. Explain what happened and how. What is the accused's name? If unknown, describe the accused (e.g., clothing). What is the victim's gender? Male Female Transgender What is the accused's gender? Male Female Transgender What is the accused's association to the College? Student Employee Not associated Did the vicim and accused know one another? Yes No Were the victim and accused in a relationship with each other? Yes No Hazing details Enter dates/times when hazing occurred. Enter the exact location or address where this incident occurred. Explain what happened and how. What is the accused's name? If unknown, describe the accused (e.g., clothing). What is the victim's gender? Male Female Transgender What is the accused's gender? Male Female Transgender What is the accused's association to the College? Student Employee Not associated Did the vicim and accused know one another? Yes No Were the victim and accused in a relationship with each other? Yes No How are you associated to this report? How are you associated to this report? Accuser/Respondent Victim/Survivor Reporting Party Bystander/Witness Personal information (optional) If you want to be contacted by someone to provide more information, please provide your name, phone number, and e-mail address. If you want to be contacted by someone to provide more information, please provide your name, phone number, and e-mail address. First name MI Last name Phone Email