Hazing Incident Report

Background Information

The University will investigate all reports submitted to the extent possible. So that reports may be thoroughly investigated, we encourage reporting persons to include their names and contact information.

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Your full name:

Your phone number:

Your email address:

Email address must be of a valid format.

Date of incident(Required):

This field is required.

Time of incident:

Location of incident(Required):

This field is required.

Specific location:

Organization/Involved Parties

Name or Organization

Select Gender

Select Role

ID Number

DOB (YYYY-MM-DD)

Phone number

Email address

Hall/Address

Please provide the information requested below. You can also attach supporting documents/media.

Please describe the hazing incident or incidents with as much detail as possible.(Required) This field is required.

Was anyone injured or taken to the hospital or medical facility?(Required) This field is required.

Was alcohol involved?(Required) This field is required.

Are you or others willing to participate in any formal investigation process? If so, please include their names and contact information.(Required) This field is required.

How were you made aware of the possible hazing behaviors you are describing?(Required) 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.

Email me a copy of this report

Background Information

Organization/Involved Parties

Please provide the information requested below. You can also attach supporting documents/media.

Supporting Documentation

Submission