Campus Security Authority Crime Report
The Clery Act requires the university to disclose annual statistics concerning certain criminal offenses, hate crimes, arrest and/or disciplinary referrals reported by victims, witnesses, or third parties, to police or other university officials defined by the Act as Campus Security Authorities. This form is for use of Campus Security Authorities other than sworn law enforcement officers employed by the Shaw University. Brief instructions are provided within the form. For assistance contact Campus Police and Security ask to speak to the Chief of Police or the Clery Compliance Officer. Information retrieved from this form is for statistical purposes only.

Completed forms will be submitted to Campus Police and Security, please click the submit button on the bottom of the page.

Campus Police and Security 919-546-8249

  • REPORTING PERSON CONTACT INFORMATION

  • - -

  • AGENCY NOTIFIED

    If, to your knowledge, a law enforcement agency was notified, please enter the name of that agency below.

  • LOCATION

  • If the crime occurred in multiple places, check all that apply.


    Geography Definitions

    ON CAMPUS:
    • Any building or property owned or controlled by an institution within the same reasonably contiguous geographic area and used by the institution in direct support of, or in a manner related to, the institution’s educational purposes, including residence halls; and
    • Any building or property that is within or reasonably contiguous to the area identified in paragraph (1) of this definition, that is owned by the institution but controlled by another person, is frequently used by students, and supports institutional purposes (such as food or other retail vendors).

    NON-CAMPUS BUILDING OR PROPERTY:
    • Any building or property owned or controlled by a student organization that is officially recognized by the institution; or
    • Any building or property owned or controlled by an institution that is used in direct support of, or in relation to, the institution’s educational purposes, is frequently used by students, and is not within the same reasonably contiguous geographic area of the institution.

    PUBLIC PROPERTY:
    • All public property, including thoroughfares, streets, sidewalks, and parking facilities, that is within the campus, or immediately adjacent to and accessible from the campus.

  • Incident Information

  • / / :
  • (Please provide specific, detailed information; can attach additional document if necessary.)

  • BIASES

  • Please check all that apply.
  • If the crime was not listed above, please enter the additional crime category.

    Crime Definitions:

    Homicide
    • Murder/non-negligent manslaughter: the willful (non-negligent) killing of one human being by another.
    • Negligent Manslaughter: the killing of another person through gross negligence.

    Sex Offenses
    • Sex offenses: Any sexual act directed against another person without the consent of the victim, including instances where the victim is incapable of giving consent.
    • Rape: The penetration, no matter how slight, of the vagina or anus with any body part or object, or oral penetration by a sex organ of another person, without the consent of the victim.
    • Fondling: The touching of the private body parts of another person for the purpose of sexual gratification, without the consent of the victim, including instances where the victim is incapable of giving consent because of his/her age or because of his/her temporary or permanent mental incapacity.
    • Incest: Sexual intercourse between persons who are related to each other within the degrees wherein marriage is prohibited by law.
    • Statutory Rape: Sexual intercourse with a person who is under the statutory age of consent.

    Robbery
    • Taking or attempting to take anything of value from the care, custody, or control of a person or persons by force or threat of force or violence and/or by putting the victim in fear.

    Aggravated Assault
    • Unlawful attack by one person upon another for the purpose of inflicting severe or aggravated bodily injury.

    Burglary
    • Unlawful entry of a structure to commit a felony or a theft.

    Motor Vehicle Theft
    • The theft or attempted theft of a motor vehicle.

    Arson
    • Willful or malicious burning or attempt to burn with or without intent to defraud a dwelling house, public building, motor vehicle or aircraft, personal property of another, etc.

    Dating Violence
    • Violence committed by a person who is or has been in a social relationship of a romantic or intimate nature with the victim; and where the existence of such a relationship shall be determined based on a consideration of the following factors:
    o The length of the relationship
    o The type of the relationship
    o The frequency of interaction between the persons involved in the
    relationship

    Domestic Violence
    • Felony or misdemeanor crimes of violence committed by a current or former spouse or intimate partner of the victim, by a person with whom the victim shares a child in common, by a person who is cohabitating with or has cohabitated with the victim as a spouse or intimate partner, by a person similarly situated to a spouse of the victim under the domestic or family violence laws of the jurisdiction...or by any other person against an adult or youth victim who is protected from that person’s acts under the domestic or family violence laws of the jurisdiction.

    Stalking
    • Engaging in a course of conduct directed at a specific person that would cause a reasonable person to fear for his or her safety or the safety of others or suffer substantial emotional distress.

    Liquor Law Violation
    • The violation of state or local laws or ordinances prohibiting the manufacture, sale, purchase, transportation, possession, or use of alcoholic beverages.

    Drug Law Violation
    • The violation of laws prohibiting the production, distribution and/or use of certain controlled substances and the equipment or devices utilized in their preparation and/or use.

    Illegal Weapons Possession
    • The violation of laws or ordinances prohibiting the manufacture, sale, purchase, transportation, possession, concealment, or use of firearms, cutting instruments, explosives, incendiary devices, or other deadly weapons.