Clery行为-365bet

To assist Austin Peay State University in complying with the federal Clery行为, this form should be utilized by Campus Security Authorities (CSA) to report crimes to Austin Peay Campus 警察 as soon as possible after a crime has been reported to the CSA. Under the Clery行为, a crime is reported to a CSA when a student, 员工, or third party brings information about an alleged crime to the attention of the CSA and the CSA believes the report was made in good faith. Austin Peay Campus 警察 will use the information provided in this form to classify the crime for purposes of inclusion in the University’s annual crime statistics.

Date Incident Reported to CSAMM / DD / YYYY

第一个名字 *第一个名字

姓*姓

部门部门 you are from

电话 *Best phone number to contact you

电子邮件Best email address to contact you

Date Incident Occurred

Incident Location Name / AddressWhere did the incident occurr?

Classification (Select One)*

校园, residence hall, fraternity or sorority

校园, not in a residence hall

校外, public property immediately adjacent to campus (sidewalks, streets, etc)

校外 in University leased or controlled space

校外, not affiliated with and not adjacent to campus

Unknown location

Did the incident occur in a building or on the street?

Did the incident occur at a university owned sponsored activity?

Did the incident occur on university owned, controlled or leased property?

To your knowledge, was this incident motivated by bias such as:

比赛

性别

种族

Sexual Orientation

宗教

残疾

Please describe evidence supporting the conclusion that the incident was motivated 偏差:

To your knowledge, was this incident reported to an agency and if so which one?