Clery Form - Offices

Full Name *

First

Last

Email Address *

Phone Number *

Classification

If no crimes were reported to you, please select “None” in the Classification drop-down list.

Date of Incident

Location of incident (building name or address)

Brief description of the incident

Stranger or acquaintance?

Were either the survivor or the assailant under the influence of drugs or alcohol?

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

Did the crime occur on college owned or leased property?

Did the crime occur at a college sponsored activity or event?

Hate Crime

If a hate crime occurs when there is an incident involving intimidation, vandalism, larceny, simple assault or other bodily injuries, the law requires that the statistic be reported as a hate crime even though there is no requirement to report the crime classification in any other area of the compliance document. A hate or bias-related crime is not a separate, distinct crime, but, is the commission of a criminal offense which was motivated by the offender’s bias. For example, a subject assaults a victim, which is a crime. If the facts of the case indicate that the offender was motivated to commit the offense because of his bias against the victim’s race, sexual orientation, etc… the assault is then also classified as a hate/bias crime. If a hate (bias) related crime was reported to you, please indicate the type of bias below:

Classification (see classification definitions above)

Type of Bias