Campus Safety and Security Survey

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Printable Read-Only Survey Forms

Printable Read-Only Survey Forms
Screening Questions
Please answer these questions carefully. The answers you provide will determine which screens
you will be asked to complete for this data collection.

1. Does your institution provide On-Campus Student Housing Facilities?

No.

Yes. (If Yes is selected, you must enter the number of student housing facilities below and enter
Fire Statistics for each facility.)

Number of On-campus Student
Housing Facilities:          

Last Year

2. Does your institution have any noncampus buildings or properties?

Yes

No

3. Have you combined statistics that you received from the local or state police with
your institution statistics for this report? If you answer No to this question, you will
be asked to provide the data you received from the local and state police separately.

Yes. Local and/or state law enforcement agencies provided us with statistics that we are
combining with statistics collected by our campus security authorities.

No. We are not combining the statistics because we cannot determine whether the statistics we
obtained from local and/or state law enforcement agencies are for on-campus incidents or public
property incidents.

Not available. We cannot determine if the statistics we obtained from local and/or state law
enforcement agencies are for our Clery geography.

Not available. We made a good-faith effort to obtain statistics from local and/or state law
enforcement agencies, but the agencies did not comply with our request.

Criminal Offenses - On campus
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For each of the following criminal offenses, enter the number reported to have occurred On Campus.
Criminal offense

Total occurrences On campus

2020

2021

2022

a. Murder/Non-negligent manslaughter

b. Manslaughter by Negligence

c. Rape

d. Fondling

e. Incest

f. Statutory rape

g. Robbery

h. Aggravated assault

i. Burglary

j. Motor vehicle theft
(Do not include theft from a motor vehicle)
k. Arson

Caveat:
If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For
(YEAR), Line (X) was changed from (A) to (B) because (REASON).”

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Criminal Offenses - On-campus Student Housing Facilities
Of those criminal offenses reported to have occurred On Campus, enter the number that occurred in
On-campus Student Housing Facilities.
Criminal offense

Total occurrences in On-Campus Student Housing
Facilities

2020

2021

2022

a. Murder/Non-negligent manslaughter

b. Manslaughter by Negligence

c. Rape

d. Fondling

e. Incest

f. Statutory rape

g. Robbery

h. Aggravated assault

i. Burglary

j. Motor vehicle theft
(Do not include theft from a motor vehicle)
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k. Arson

Caveat:
If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For
(YEAR), Line (X) was changed from (A) to (B) because (REASON).”

Criminal Offenses - Noncampus
For each of the following criminal offenses, enter the number reported to have occurred in or on Noncampus buildings
or property.
Criminal offense

Total occurrences in
or on Noncampus buildings or property

2020

2021

2022

a. Murder/Non-negligent manslaughter

b. Manslaughter by Negligence

c. Rape

d. Fondling

e. Incest

f. Statutory rape

g. Robbery

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h. Aggravated assault

i. Burglary

j. Motor vehicle theft
(Do not include theft from a motor vehicle)
k. Arson

Caveat:
If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For
(YEAR), Line (X) was changed from (A) to (B) because (REASON).”

Criminal Offenses - Public Property
For each of the following criminal offenses, enter the number reported to have occurred on Public Property.
Criminal offense

Total occurrences on Public Property

2020

2021

2022

a. Murder/Non-negligent manslaughter

b. Manslaughter by Negligence

c. Rape

d. Fondling

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e. Incest

f. Statutory rape

g. Robbery

h. Aggravated assault

i. Burglary

j. Motor vehicle theft
(Do not include theft from a motor vehicle)
k. Arson

Caveat:
If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For
(YEAR), Line (X) was changed from (A) to (B) because (REASON).”

Criminal Offenses - Reported by Local Police
For each of the following criminal offenses, enter the number of reported occurrences obtained from local and state
law enforcement agencies.
Note: Use this screen only if the statistics provided by local law enforcement agencies for your Clery geography
cannot be separated into the reportable geographic areas (i.e., on campus, noncampus, and public property).
Criminal offense

https://surveys.ope.ed.gov/campussafety/#/read-only-survey/-1/blank?printFormId=1

Total occurrences reported by police

2020

2021

2022

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a. Murder/Non-negligent manslaughter

b. Manslaughter by Negligence

c. Rape

d. Fondling

e. Incest

f. Statutory rape

g. Robbery

h. Aggravated assault

i. Burglary

j. Motor vehicle theft
(Do not include theft from a motor vehicle)
k. Arson

Caveat:
If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For
(YEAR), Line (X) was changed from (A) to (B) because (REASON).”

Hate Crimes - On campus
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For the criminal offenses listed below, first enter the total number of Hate Crimes that were reported to have occurred
On campus. Then break down each total by category of bias (e.g., race, religion).
YEAR 2022
Criminal offense

Total

Occurrences of Hate crimes (Category of Bias for crimes)

Race

Religion

Sexual Gender
orientation

Gender Disability Ethnicity National
Identity
Origin

a.
Murder/ Non-negligent
manslaughter
c. Rape

d. Fondling

e. Incest

f. Statutory rape

g. Robbery

h. Aggravated assault

i. Burglary

j. Motor vehicle theft
(Do not include theft from a
motor vehicle)
k. Arson

l. Simple assault

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m. Larceny-theft

n. Intimidation

o. 
Destruction/damage/
vandalism of property
YEAR 2021
Criminal offense

Total

Occurrences of Hate crimes (Category of Bias for crimes)

Race

Religion

Sexual Gender
orientation

Gender Disability Ethnicity National
Identity
Origin

a.
Murder/ Non-negligent
manslaughter
c. Rape

d. Fondling

e. Incest

f. Statutory rape

g. Robbery

h. Aggravated assault

i. Burglary

j. Motor vehicle theft
(Do not include theft from a
motor vehicle)

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k. Arson

l. Simple assault

m. Larceny-theft

n. Intimidation

o. 
Destruction/damage/
vandalism of property
YEAR 2020
Criminal offense

Total

Occurrences of Hate crimes (Category of Bias for crimes)

Race

Religion

Sexual Gender
orientation

Gender Disability Ethnicity National
Identity
Origin

a.
Murder/ Non-negligent
manslaughter
c. Rape

d.Fondling

e. Incest

f. Statutory rape

g. Robbery

h. Aggravated assault

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i. Burglary

j. Motor vehicle theft

k. Arson

l. Simple assault

m. Larceny-theft

n. Intimidation

o. 
Destruction/damage/
vandalism of property

Caveat:
If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For
(YEAR), Line (X) was changed from (A) to (B) because (REASON).”

Hate Crimes - On-campus Student Housing Facilities
For the criminal offenses listed below, first enter the total number of Hate Crimes that were reported to have occurred
in On-Campus Student Housing Facilities. Then break down each total by category of bias (e.g., race, religion).
YEAR 2022
Criminal offense

Total

Occurrences of Hate crimes (Category of Bias for crimes)

Race

Religion

Sexual Gender
orientation

https://surveys.ope.ed.gov/campussafety/#/read-only-survey/-1/blank?printFormId=1

Gender Disability Ethnicity National
Identity
origin

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a.
Murder/ Non-negligent
manslaughter
c. Rape

d. Fondling

e. Incest

f. Statutory rape

g. Robbery

h. Aggravated assault

i. Burglary

j. Motor vehicle theft
(Do not include theft from a
motor vehicle)
k. Arson

l. Simple assault

m. Larceny-theft

n. Intimidation

o.
Destruction/damage/
vandalism of property

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YEAR 2021
Criminal offense

Total

Occurrences of Hate crimes (Category of Bias for crimes)

Race

Religion

Sexual Gender
orientation

Gender Disability Ethnicity National
Identity
Origin

a.
Murder/ Non-negligent
manslaughter
c. Rape

d. Fondling

e. Incest

f. Statutory rape

g. Robbery

h. Aggravated assault

i. Burglary

j. Motor vehicle theft
(Do not include theft from a
motor vehicle)
k. Arson

l. Simple assault

m. Larceny-theft

n. Intimidation

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o.
Destruction/damage/
vandalism of property
YEAR 2020
Criminal offense

Total

Occurrences of Hate crimes (Category of Bias for crimes)

Race

Religion

Sexual Gender
orientation

Gender Disability Ethnicity National
Identity
Origin

a.
Murder/ Non-negligent
manslaughter
c. Rape

d.Fondling

e. Incest

f. Statutory rape

g. Robbery

h. Aggravated assault

i. Burglary

j. Motor vehicle theft

k. Arson

l. Simple assault

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m. Larceny-theft

n. Intimidation

o. 
Destruction/damage/
vandalism of property

Caveat:
If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For
(YEAR), Line (X) was changed from (A) to (B) because (REASON).”

Hate Crimes - Noncampus
For the criminal offenses listed below, first enter the total number of Hate Crimes that were reported to have occurred
in or on Noncampus buildings or property. Then break down each total by category of bias (e.g., race, religion).
YEAR 2022
Criminal offense

Total

Occurrences of Hate crimes (Category of Bias for crimes)

Race

Religion

Sexual Gender
orientation

Gender Disability Ethnicity National
Identity
origin

a.
Murder/ Non-negligent
manslaughter
c. Rape

d. Fondling

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e. Incest

f. Statutory rape

g. Robbery

h. Aggravated assault

i. Burglary

j. Motor vehicle theft
(Do not include theft from a
motor vehicle)
k. Arson

l. Simple assault

m. Larceny-theft

n. Intimidation

o. 
Destruction/damage/
vandalism of property

YEAR 2021
Criminal offense

Total

Occurrences of Hate crimes (Category of Bias for crimes)

Race

Religion

Sexual Gender
orientation

Gender Disability Ethnicity National
Identity
Origin

a.

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Murder/ Non-negligent
manslaughter
c. Rape

d. Fondling

e. Incest

f. Statutory rape

g. Robbery

h. Aggravated assault

i. Burglary

j. Motor vehicle theft
(Do not include theft from a
motor vehicle)
k. Arson

l. Simple assault

m. Larceny-theft

n. Intimidation

o. 
Destruction/damage/
vandalism of property

YEAR 2020
Criminal offense

Total

Occurrences of Hate crimes (Category of Bias for crimes)

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Race

Religion

Sexual Gender
orientation

Gender Disability Ethnicity National
Identity
Origin

a.
Murder/ Non-negligent
manslaughter
c. Rape

d. Fondling

e. Incest

f. Statutory rape

g. Robbery

h. Aggravated assault

i. Burglary

j. Motor vehicle theft

k. Arson

l. Simple assault

m. Larceny-theft

n. Intimidation

o. 
Destruction/damage/
vandalism of property

https://surveys.ope.ed.gov/campussafety/#/read-only-survey/-1/blank?printFormId=1

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Caveat:
If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For
(YEAR), Line (X) was changed from (A) to (B) because (REASON).”

Hate Crimes - Public Property
For the criminal offenses listed below, first enter the total number of Hate Crimes that were reported to have occurred
on Public Property. Then break down each total by category of bias (e.g., race, religion).
YEAR 2022
Criminal offense

Total

Occurrences of Hate crimes (Category of Bias for crimes)

Race

Religion

Sexual Gender
orientation

Gender Disability Ethnicity National
Identity
Origin

a.
Murder/ Non-negligent
manslaughter
c. Rape

d. Fondling

e. Incest

f. Statutory rape

g. Robbery

h. Aggravated assault

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i. Burglary

j. Motor vehicle theft
(Do not include theft from a
motor vehicle)
k. Arson

l. Simple assault

m. Larceny-theft

n. Intimidation

o. 
Destruction/damage/
vandalism of property

YEAR 2021

Criminal offense

Total

Occurrences of Hate crimes (Category of Bias for crimes)

Race

Religion

Sexual Gender
orientation

Gender Disability Ethnicity National
Identity
Origin

a.
Murder/ Non-negligent
manslaughter
c. Rape

d. Fondling

e. Incest

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f. Statutory rape

g. Robbery

h. Aggravated assault

i. Burglary

j. Motor vehicle theft
(Do not include theft from a
motor vehicle)
k. Arson

l. Simple assault

m. Larceny-theft

n. Intimidation

o. 
Destruction/damage/
vandalism of property

YEAR 2020

Criminal offense

Total

Occurrences of Hate crimes (Category of Bias for crimes)

Race

Religion

Sexual Gender
orientation

Gender Disability Ethnicity National
Identity
Origin

a.
Murder/ Non-negligent
manslaughter
c. Rape

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d. Fondling

e. Incest

f. Statutory rape

g. Robbery

h. Aggravated assault

i. Burglary

j. Motor vehicle theft

k. Arson

l. Simple assault

m. Larceny-theft

n. Intimidation

o. 
Destruction/damage/
vandalism of property

Caveat:
If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For
(YEAR), Line (X) was changed from (A) to (B) because (REASON).”

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Hate Crimes - Reported by Local Police
For the criminal offenses listed below, first enter the total number of Hate Crimes that were reported by local and state
law enforcement agencies for your Clery geography. Then break down each total by category of bias (e.g., race,
religion).
Note: Use this screen only if the statistics provided by local law enforcement agencies for your Clery geography
cannot be separated into the reportable geographic areas (i.e., on campus, noncampus, and public property).
YEAR 2022

Unexpand

Criminal offense

Total

Occurrences of Hate crimes (Category of Bias for crimes)

Race

Religion

Sexual Gender
orientation

Gender Disability Ethnicity National
Identity
Origin

a.
Murder/ Non-negligent
manslaughter
c. Rape

d. Fondling

e. Incest

f. Statutory rape

g. Robbery

h. Aggravated assault

i. Burglary

j. Motor vehicle theft
(Do not include theft from a
motor vehicle)

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k. Arson

l. Simple assault

m. Larceny-theft

n. Intimidation

o. 
Destruction/damage/
vandalism of property

YEAR 2021
Criminal offense

Total

Occurrences of Hate crimes (Category of Bias for crimes)

Race

Religion

Sexual Gender
orientation

Gender Disability Ethnicity National
Identity
Origin

a.
Murder/ Non-negligent
manslaughter
c. Rape

d. Fondling

e. Incest

f. Statutory rape

g. Robbery

h. Aggravated assault

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i. Burglary

j. Motor vehicle theft
(Do not include theft from a
motor vehicle)
k. Arson

l. Simple assault

m. Larceny-theft

n. Intimidation

o. 
Destruction/damage/
vandalism of property

YEAR 2020
Criminal offense

Total

Occurrences of Hate crimes (Category of Bias for crimes)

Race

Religion

Sexual Gender
orientation

Gender Disability Ethnicity National
Identity
Origin

a.
Murder/ Non-negligent
manslaughter
c. Rape

d. Fondling

e. Incest

f. Statutory rape

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g. Robbery

h. Aggravated assault

i. Burglary

j. Motor vehicle theft

k. Arson

l. Simple assault

m. Larceny-theft

n. Intimidation

o. 
Destruction/damage/
vandalism of property

Caveat:
If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For
(YEAR), Line (X) was changed from (A) to (B) because (REASON).”

VAWA Offenses - On Campus
For each of the following crimes, enter the number reported to have occurred On Campus.
Crime

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Total occurences On Campus

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2020

2021

2022

a. Domestic violence

b. Dating violence

c. Stalking

Caveat:
If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For
(YEAR), Line (X) was changed from (A) to (B) because (REASON).”

VAWA Offenses - On-campus Student Housing Facilities
For each of the following crimes, enter the number reported to have occurred in On-campus Student Housing Facilities
.
Crime

Total occurences in On-campus Student Housing
Facilities

2020

2021

2022

a. Domestic violence

b. Dating violence

c. Stalking

Caveat:
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If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For
(YEAR), Line (X) was changed from (A) to (B) because (REASON).”

VAWA Offenses - Noncampus
For each of the following crimes, enter the number reported to have occurred in or on Noncampus buildings or
property.
Crime

Total occurrences in or on Noncampus buildings or
property

2020

2021

2022

a. Domestic violence

b. Dating violence

c. Stalking

Caveat:
If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For
(YEAR), Line (X) was changed from (A) to (B) because (REASON).”

VAWA Offenses - Public Property
For each of the following crimes, enter the number reported to have occurred on Public Property.

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Crime

Total occurences on Public Property

2020

2021

2022

a. Domestic violence

b. Dating violence

c. Stalking

Caveat:
If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For
(YEAR), Line (X) was changed from (A) to (B) because (REASON).”

VAWA Offenses - Reported by Local Police
For each of the following crimes, enter the number reported.
Note: Use this screen only if the statistics provided by local law enforcement agencies for your Clery geography
cannot be separated into the reportable geographic areas (i.e., on campus, noncampus, and public property).
Crime

Total occurrences reported by police

2020

2021

2022

a. Domestic violence

b. Dating violence

c. Stalking

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Caveat:
If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For
(YEAR), Line (X) was changed from (A) to (B) because (REASON).”

Arrests - On campus
Enter the number of Arrests for each of the following crimes that occurred On Campus.
Crime

Number of Arrests

2020

2021

2022

a. Weapons: carrying, possessing, etc.

b. Drug abuse violations

c. Liquor law violations

Please Note: Do NOT include drunkenness or driving under the influence in liquor law violations.

Caveat:
If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For
(YEAR), Line (X) was changed from (A) to (B) because (REASON).”

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Arrests - On-campus Student Housing Facilities
Of those Arrests for crimes that occurred On Campus, enter the number of crimes that occurred in
On-campus Student Housing Facilities for each of the following categories.
Crime

Number of Arrests

2020

2021

2022

a. Weapons: carrying, possessing, etc.

b. Drug abuse violations

c. Liquor law violations

Please Note: Do NOT include drunkenness or driving under the influence in liquor law violations.

Caveat:
If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For
(YEAR), Line (X) was changed from (A) to (B) because (REASON).”

Arrests - Noncampus
Enter the number of Arrests for each of the following crimes that occurred in or on Noncampus buildings or property.
Crime

Number of Arrests

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2020

2021

2022

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a. Weapons: carrying, possessing, etc.

b. Drug abuse violations

c. Liquor law violations

Please Note: Do NOT include drunkenness or driving under the influence in liquor law violations.

Caveat:
If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For
(YEAR), Line (X) was changed from (A) to (B) because (REASON).”

Arrests - Public Property
Enter the number of Arrests for each of the following crimes that occurred on Public Property.
Crime

Number of Arrests

2020

2021

2022

a. Weapons: carrying, possessing, etc.

b. Drug abuse violations

c. Liquor law violations

Please Note: Do NOT include drunkenness or driving under the influence in liquor law violations.

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Caveat:
If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For
(YEAR), Line (X) was changed from (A) to (B) because (REASON).”

Arrests - Reported by Local Police
For each of the following crimes, enter the number of arrests reported.
Note: Use this screen only if the statistics provided by local law enforcement agencies for your Clery geography
cannot be separated into the reportable geographic areas (i.e., on campus, noncampus, and public property).
Crime

Number of Arrests

2020

2021

2022

a. Weapons: carrying, possessing, etc.

b. Drug abuse violations

c. Liquor law violations

Please Note: Do NOT include drunkenness or driving under the influence in liquor law violations.

Caveat:
If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For
(YEAR), Line (X) was changed from (A) to (B) because (REASON).”

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Disciplinary Actions - On Campus
Enter the number of persons referred for disciplinary action for crimes that occurred On Campus for each of the
following categories.
Do not include disciplinary actions that were strictly for school policy violations.
If the disciplinary action is the result of an arrest, please do not count it here; count the violation as 1 arrest.
Crime

Number of persons referred for
Disciplinary Action

2020

2021

2022

a. Weapons: carrying, possessing, etc.

b. Drug abuse violations

c. Liquor law violations

Please Note: Do NOT include drunkenness or driving under the influence in liquor law violations.

Caveat:
If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For
(YEAR), Line (X) was changed from (A) to (B) because (REASON).”

Disciplinary Actions - On-campus Student Housing Facilities
Enter the number of persons referred for disciplinary action for crimes that occurred in
On-campus Student Housing Facilities for each of the following categories.
Do not include disciplinary actions that were strictly for school policy violations.
If the disciplinary action is the result of an arrest, please do not count it here; count the violation as 1 arrest.
Crime
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Number of persons referred for
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Disciplinary Action

2020

2021

2022

a. Weapons: carrying, possessing, etc.

b. Drug abuse violations

c. Liquor law violations

Please Note: Do NOT include drunkenness or driving under the influence in liquor law violations.

Caveat:
If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For
(YEAR), Line (X) was changed from (A) to (B) because (REASON).”

Disciplinary Actions - Noncampus
Enter the number of persons referred for disciplinary action for crimes that occurred in or on Noncampus buildings or
property for each of the following categories.
Do not include disciplinary actions that were strictly for school policy violations.
If the disciplinary action is the result of an arrest, please do not count it here; count the violation as 1 arrest.
Crime

Number of persons referred for
Disciplinary Action

2020

2021

2022

a. Weapons: carrying, possessing, etc.

b. Drug abuse violations

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c. Liquor law violations

Please Note: Do NOT include drunkenness or driving under the influence in liquor law violations.

Caveat:
If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For
(YEAR), Line (X) was changed from (A) to (B) because (REASON).”

Disciplinary Actions - Public Property
Enter the number of persons referred for disciplinary action for crimes that occurred on Public Property for each of
the following categories.
Do not include disciplinary actions that were strictly for school policy violations.
If the disciplinary action is the result of an arrest, please do not count it here; count the violation as 1 arrest.
Crime

Number of persons referred for
Disciplinary Action

2020

2021

2022

a. Weapons: carrying, possessing, etc.

b. Drug abuse violations

c. Liquor law violations

Please Note: Do NOT include drunkenness or driving under the influence in liquor law violations.

Caveat:
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If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For
(YEAR), Line (X) was changed from (A) to (B) because (REASON).”

Disciplinary Actions - Reported by Local Police
Enter the number of persons referred for disciplinary action for each of the following law violations.
Do not include disciplinary actions that were strictly for school policy violations.
If the disciplinary action is the result of an arrest, please do not count it here; count the violation as 1 arrest.
Crime

Number of persons referred for
Disciplinary Action

2020

2021

2022

a. Weapons: carrying, possessing, etc.

b. Drug abuse violations

c. Liquor law violations

Please Note: Do NOT include drunkenness or driving under the influence in liquor law violations.

Caveat:
If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For
(YEAR), Line (X) was changed from (A) to (B) because (REASON).”

Unfounded Crimes
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Of those crimes that occurred On Campus, in On-campus Student Housing Facilities, on or in Noncampus property or
buildings, and on Public Property, enter the number of crimes that were unfounded.
The total number of unfounded crimes should include all criminal offenses, hate crimes, domestic violence, dating
violence, or stalking incidents that have been unfounded. Arrests and disciplinary actions cannot be unfounded.

Number

2020

2021

2022

a. Total unfounded crimes

Please Note: If a reported crime is investigated by law enforcement authorities and found to be false or baseless,
the crime is "unfounded." Only sworn or commissioned law enforcement personnel may unfound a crime.
Count unfounded crimes in the year in which they were originally reported.

Caveat:
If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For
(YEAR), Line (X) was changed from (A) to (B) because (REASON).”

Fires - On-campus Student Housing Facilities
Enter the name, address and number of fires for each On-campus Student Housing Facility. For each facility that has
one or more fires, click "Report" to complete the fire statistics for that facility. If your institution did not use a facility in
2022, click the "Inactive" link for that facility. If you add, delete, or deactivate an On-campus Student Housing Facility,
you may need to return to the Screening Questions to revise the reported number of On-campus Student Housing
Facilities.

Housing Facilities
S/N

Name of Facility

Street Address

2020

2021

Number of
Fires

Number of
Fires

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2022
Number of
Fires

Action

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Total

Caveat:
If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For
(YEAR), Line (X) was changed from (A) to (B) because (REASON).”

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Fires by On-campus Student Housing Facility
Housing Facility Name:

Housing Facility Address:

Category of Fire

1

​
​

Cause of Fire
​

Total

FireFirerelated related Property damage
injuries deaths
​
0

​
0

0

0

​
​

Action

DELETE

Caveat:

Fires - Summary
2020
S/N

Name of Facility

Fires

Injuries

2021
Deaths

Fires

Injuries

2022
Deaths

Fires

Injuries

Deaths

Total

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