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Incident Reporting Form


This form is designed to provide the Eckerd College community, which includes, but is not limited to students, student organizations, faculty, administrators, staff, guests, visitors, invitees, and campers with an on-line method to report specific information related to an alleged incident(s) of policy violations.

Please note that the College can address submissions most completely when we are able to communicate with people reporting. The benefits of direct reporting include a greater ability for Eckerd to understand the situation, provide resources, support, and options to those reporting, and to address the behavior fully and accurately.

We do accept anonymous reports. Those wishing to report anonymously may submit this form without identifying information. If you choose to submit a report anonymously, please note that Eckerd will strive to fully respond, but anonymous reporting significantly limits our ability to do so.

Furthermore, please be aware that the individuals involved may be afforded certain privacy rights under the Family Educational Rights and Privacy Act (FERPA). The Office of Community Standards strives to maintain information provided as private, to the extent in which the law allows. Please note that students have the right to inspect any information submitted regarding this matter. Our office may disclose information to appropriate college staff for evaluation and/or response purposes.

Reporter Information/Background Information

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(Faculty, Staff, Visitor, Outside Community member, etc.)
Email address must be of a valid format.
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(Academic, Residential, Athletic, Dining)

Involved Parties

Please list the individuals involved (excluding yourself), including as many of the listed fields as you can provide.

Involved party 1

Detailed Information

This field is required.
Select any of the following that apply:(Required)
You must make at least one selection.
Was Alcohol involved?(Required)
You must make at least one selection.
Were Drugs involved?(Required)
You must make at least one selection.
Preferred method of contact if more information is needed?
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.

Submission