Fraternity & Sorority Life

Hazing Reporting Form

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Your full name

Your phone number

Your email address

Date of incident *

Month

Day

Year

Location of incident *

Time of incident

Hour

Minute

List of involved parties

Name of person or organization you are reporting

Detailed description of the incident or concern *

How did you become aware of this incident? *

Are there others who can corroborate your report?

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