Student Engagement | RSO Incident Report Form

Student Engagement | RSO Incident Report Form

1 Your Name:

2 Contact Email: answer must be an email address

RSO President's Name (if applicable):

RSO President's Email (if applicable):

RSO Treasurer's Name (if applicable):

RSO Treasurer's Email (if applicable):

3 Date of Incident: answer must be date like mm/dd/yyyy

4 Time of Incident:

5 Are you the person who witnessed the incident(s):

required

5 Are you the person who witnessed the incident(s):

YES

NO

If NO to the above, please list the witness and contact email:

6 Name of Registered Student Organization (RSO):

7 Location/Building where incident happened:

8 Description of Incident (damages, messes, unauthorized entry, etc.):

9 Please add any pictures or documentation of the incident: (maximum file size: 15M)

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Additional pictures/documentation: (maximum file size: 15M)

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Additional pictures/documentation: (maximum file size: 15M)

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Include your email address in your submission to:

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