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Resources
Requirements
Paying for College
Meet Your Counselor
After Acceptance
Financial Aid
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Check Status
About
About
Meet the President
Directory
Vision & Mission
Camden Center
Locations
College of Coastal Georgia Art Gallery
e-Factbook
Strategic Plan
Offices
Academics
Academics
School of Arts and Sciences
Honors
School of Business and Public Management
Student Success Resources
School of Nursing and Health Sciences
Academic Catalogs
Coastal Online
Library
Majors and Degrees
Service Learning
Study Abroad
Class Schedule
Campus Life
Campus Life-old
Recreation/Wellness
On-campus Dining and Meal Plans
Student Life
Student Success Resources
Campus Partners
Residence Life and Housing
Community Partners
Anti-Hazing Policy and Resources
Office of Campus Community & Belonging
Athletics
Athletics
Men's Tennis
Women's Softball
Men's Basketball
Women's Tennis
Men's Golf
Women's Basketball
News Archive
Women's Golf
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Project Livestreams
CSA Crime Incident Reporting Form
CSA Email
*
CSA Phone
*
Date Incident Reported
*
Time Incident Reported (Please specify AM or PM)
*
Date Incident Occured
*
Name of Victim (Optional)
Name of Witnesses (Optional)
Name of Suspect (Optional)
Check the box that best indicates the crime you are reporting.
*
Murder
Manslaughter
Robbery
Burglary
Motor Vehicle Theft
Aggravated Assault
Rape
Fondling
Statutory Rape
Incest
Arson
Dating Violence
Domestic Violence
Stalking
Alcohol Law Violation
Drug Law Violation
Weapon Law Violation
Other
Hazing
If other, please explain.
Hazing Incident Details (Complete this section only if Hazing was selected above).
Definition of Hazing: Hazing includes any intentional, knowing, or reckless act committed by a person (whether individually or in concert with other persons) against another person or persons regardless of the willingness of such other person or persons to participate, that (I) is committed in the course of an initiation into, an affiliation with, or the maintenance of membership in, a student organization, [e.g., a club, student government, athletic team, fraternity, or sorority]; and (II) causes or creates a risk, above the reasonable risk encountered in the course of participation in the institution of higher education or the organization (such as the physical preparation necessary for participation in an athletic team), of physical or psychological injury.
Student Organization Information
Name of Organization
*
Type of Organization
*
Athletic Team
Club/Student Organization
Other
If other, please describe:
Nature of Hazing Activity (select all that apply)
*
Physical harm or risk of injury
Psychological harm
Forced/coerced substance consumption
Sleep deprivation/exposure to elements
Coerced illegal activity
Other
If other, please describe:
Was this part of an initiation/affiliation process?
*
Yes
No
Resulted in (select all that apply)
*
Physical injury
Hospitalization
Arrests
Psychological trauma
None of the above
Substance use involved
*
Yes
No
Occurred at
*
Organization-owned facility
Organization-controlled property
Off-campus event location
Hate Crime Reporting Requirements
The following crimes need only be reported if the victim(s) of the reported crime was/were targeted specifically of bias/prejudice against the victim.
Simple Assault
Larceny
Intimidation
Vandalism
Any other crime involving bodily injury
Provide a brief explanation of why you believe the crime was motivated by hate or bias.
Hate Crime Bias Type
Race
Ethnicity
Gender
Religion
Disability
Sexual Orientation
Location of Incident (Specific Location of Incident)
Brief description of Incident
Does the victim wish to be contacted by Public Safety?
*
Yes
No
To the best of your knowledge, were any of the following offices or agencies notified of this incident? Please check all that apply.
College of Coastal Georgia Department of Public Safety
Brunswick Police
Kingsland Police
Title IX Office
Office of the Dean of Students
Other
If other, please list.
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