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Inclusive Community Report Form


Shippensburg University is committed to a culturally diverse and inclusive climate that fosters intellectual and academic freedom, the free expression and exchange of all ideas, and the wellbeing of its students, faculty, staff, administrators and visitors. Moreover, Shippensburg University is dedicated to fostering free speech in an environment where members of our community can learn from one another and where all are treated with dignity and respect.

This Reporting Form does NOT replace a 911 call or a request for Emergency Service: Do not use this site to report events that present an immediate threat of life or property. Reports that are submitted through this form may not receive an immediate response. If this is an emergency, please contact the Shippensburg University Police at 717-477-1444 or dial 911.

Background Information

You may file this report anonymously or you can include your information below.

 
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Student/Staff/Faculty/Visitor
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If you don't know exact date, you can put the date that it was reported to you
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If you don't know exact time, you can put day, evening, night time etc.
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Involved Parties

Please fill in the information of other people involved, if known, or anyone with any information about this matter.

Involved party 1

Questions

Please provide the information to the best of your ability.

Type of Incident/Concern: Please check all the categories below that describe this incident. We also strongly encourage you to fully describe, in the narrative section below, all the details of the incident.(Required)
You must make at least one selection.
Type of Conduct: Please check all the categories below that describe this incident. We also strongly encourage you to fully describe, in the narrative section below, all the details of the incident.(Required)
You must make at least one selection.
Has this been reported to a police agency?(Required)
You must make at least one selection.
This field is required.

Supporting Documentation

Any photos, videos, screenshots, texts or other documentation to support your claim/concern. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission