Hazing Report Form

Background Information

Your name:

Your position/title:

Your phone number:

Your email address:

Email address must be of a valid format.

Your physical address:

Date of incident(Required):

This field is required.

Time of incident:

Location of incident(Required):

This field is required.

Specific location:

Involved Parties

CONTACT INFORMATION FOR THOSE INVOLVED- Please list the individuals or organization involved, beginning with the primary person or organization you are reporting, followed by others who also may have been involved or who witnessed the occurance. Complete as many of the listed fields as you can.

Name or Organization

Gender

Role

Phone number

Email address

Hall/Address

Description / Narrative of Incident

Hazing is any action taken or situation created intentionally to produce mental or physical discomfort, embarrassment, harassment, or ridicule, weather on or off campus. Activities considered to be hazing include two elements: (1) coercion, either overt or covert, and (2) production of physical or mental discomfort, in either the participant(s) or spectators. Such activities suggested or ordered by a group or a member of a group to new or trial members will be considered to carry with them covert coercion even if the activity is defined as “voluntary”. Paddling in any form, physical and psychological shocks and creation of excessive fatigue are always considered hazing. Other activities which may be considered hazing are: quests, treasure hunts, scavenger hunts, road trips, or any other such activities. Also, wearing apparel in public which is designed to humiliate the wearer; engaging in public stunts and buffoonery; morally degrading or humiliating games and activities; late work sessions which interfere with scholastic activities; and any other activities which are not consistent with the regulations of the community are considered forms of hazing. This is not to be considered an all-inclusive list.

Please provide as much detail as possible in regard to the incident(s) or behavior(s) that have prompted your concern. Dates and times are helpful. These reports are reviewed by staff of the Student Conduct Office.(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

Involved Parties

Description / Narrative of Incident

Supporting Documentation

Submission