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Hazing Reporting Form


This general HAZING REPORTING FORM is to be used for non-emergency purposes only. If this is an emergency, please call University Police at 318.342.5350. In accordance with Act 637 of 2018 Regular Session of the Louisiana Legislature, ULM adheres to the policy of "Duty to Seek Assistance" (any person at the scene of an emergency who knows that another person has suffered bodily injury caused by an act of hazing shall, to the extent that the person can do so without danger or peril to self or others, give reasonable assistance to the injured person).

Hazing activities of any type are inconsistent with the educational goals of the university and Louisiana Law - and are prohibited at all times. No student, faculty member, employee or administrator, guest, contractor or volunteer shall plan, direct, encourage, aid or engage in hazing.

For more information on hazing prevention education go to https://ulm.prevent.zone. The ULM Hazing Policy may be located at https://webservices.ulm.edu/policies/download-policy/753.

Background Information

 
Email address must be of a valid format.
This field is required.
This field is required.
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Involved Parties

Involved party 1

I am serving in the role as (check all that apply) :(Required)
You must make at least one selection.
Hazing means any intentional, knowing, or reckless act by a person acting alone or acting with others that is directed against another. Does this alleged incident meet this guideline?(Required)
You must make at least one selection.
Was the person committing the act of hazing acting alone or acting with others?(Required)
You must make at least one selection.
Hazing includes but is not limited to any of the following acts. Which action best describes this alleged incident (check all that apply) ?(Required)
You must make at least one selection.
Which entity participated in the alleged act of hazing (check all that apply)?(Required)
You must make at least one selection.
This field is required.
Who have you reported this incident to (check all that apply)?(Required)
You must make at least one selection.
Did the student require or receive medical attention(check all that apply)?(Required)
You must make at least one selection.
This field is required.
This field is required.
Have you received hazing prevention training within the last 12 months (check all that apply)?(Required)
You must make at least one selection.
This field is required.

Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Select copy recipients

Submission