Online Hazing Report Form

This report will be reviewed by William Penn’s Campus Safety Office and/or the Dean of Students.

If this is an emergency or someone is in immediate danger, please contact Campus Safety at 1-800-779-7366 ext. 1083 or dial 911.

Date of Incident (if known)

Approximate Time of Incident

Location of Incident

If Other, Please Specify

Individuals or Groups Involved (if known)

Description of the Incident

Please describe what happened in as much detail as possible. Include any actions, behaviors, or conversations you witnessed or experienced.

Was this related to a specific organization, team, or group?

If yes, please name the organization or group (if known)

Do you believe alcohol, drugs, or coercion were involved?

Have you reported this incident elsewhere (e.g., to a coach, RA, faculty, police)?

If yes, please specify

Is there anything else you’d like us to know?

Please describe what happened in as much detail as possible. Include any actions, behaviors, or conversations you witnessed or experienced.

If you are comfortable providing your contact information for follow-up (optional), please include it below. Your report will still be taken seriously if submitted anonymously.