Report Sexual Misconduct / Criminal Activity

If you have witnessed or experienced sexual misconduct, please complete the form below. Once submitted, the form will be received by Michael Bicking, the Director of Public Safety at Eastern University. Additionally, the report will be submitted to the Student Development Office for further follow up and/or investigation.

* = REQUIRED INFORMATION

Crime Classification

Please indicate one of the following:
(If you do not know which to choose, please select "Not Listed Above" and provide details
below.)

Sex Offenses, Forcible

Forcible Rape

Forcible Sodomy

Sexual Assault with Object

Forcible Fondling

Sex Offenses, Non-Forcible

Dating Violence

Domestic Violence

Sexual Harrassment

Stalking

Homicide

Murder and Non-Negligent Manslaughter

Negligent Manslaughter

Assault

Aggravated Assault

Simple Assault (only if motivated by perpetrator's bias)

Any other crime involving bodily injury (only if motivated by perpetrator's bias)

Intimidation (only if motivated by perpetrator's bias)

Robbery/Theft/Property Damage

Motor Vehicle Theft

Robbery

Larceny/Theft (only if motivated by perpetrator's bias)

Vandalism (only if motivated by perpetrator's bias)

Arson

Law Violations

Weapons Law Violations

Liquor Law Violations

Drug Law Violations

Burglary

Forcible Burglary

Non-Forcible Burglary

Attempted Burglary

Check This Box If Not Sure About The Category

Not Listed Above/Other. Please provide further information below.

Location:

In a Residence Hall or other residential facility for students

On campus

In or on a non-campus building or property

On public property

Other location

Please Provide Further Information About This Other Location Below

Date and Time of Offense:

Known

Unknown

Date of Offense:

dd/mm/yyyy, mm/yyyy or semester/yyyy

Time of Offense:

e.g. - 9:00 am, 6:15 pm

Date and Time Incident was Reported To You:

Known

Self-Reported Above

Date of Report:

dd/mm/yyyy, mm/yyyy or semester/yyyy

Time of Report:

e.g. - 9:00 am, 6:15 pm

Perpetrator:

Known

Unknown

If the perpetrator is known to you, please enter their name below:

Optional Information

Contact Information

Please Note: If you choose to remain anonymous, it may limit the University's ability to thoroughly investigate this report.

Name of Individual or Officer Submitting Report:

**Anyone who is a Public Safety Officer is required to submit their name.

Phone

Hate Crime

If the victim/survivor was intentionally selected because of actual or perceived race, gender, gender identity, religion, sexual orientation, ethnicity, national origin or disability, please indicate the category of prejudice:

Please Select One Or More

Race

Gender/Gender Identity

Sexual Orientation

Religion

Ethnicity

National Origin

Disability

(This information is not required.)

Additional Information

Please provide additional details regarding the events described in this report.