If this is an emergency or a situation which requires immediate attention,
please contact the Office of Public Safety at 2911.

If you are aware of someone on our campus whose behavior is causing concern, or who has made a threatening remark or overt act of physical violence against self or another person(s) or property, please complete this form, which will be forwarded to Office of Student Affairs. Examples of behaviors which cause concern include:

• words, actions or writings that convey clear intentions to harm self or others
• acts motivated by discrimination or hate
• stalking (physical or cyber)
• harassment
• hazing
• suspicious person loitering
• vandalism

Issues related to other campus concerns (parking, Residence Hall issues, campus and building repairs, etc.) should be directed to the appropriate department.

Subject	Campus Safety Concern Reporting Form
Date of Incident:
Time of incident:
Location of incident:
Person(s) involved in incident or concern:
Description of the incident or behavior:	Please provide a detailed, concise, objective description of the incident or behavior.
Possible witnesses:	Please provide contact information for witnesses.
Your name:
Your phone number:
Your email:
Please enter the code to the right:	*
	Your report will be reviewed within one business day.