Hazing Report

A hazing incident may be reported to the Dean of Students office by anyone: a person who was directly affected by the activity, a person who was involved in the incident; faculty, staff, parents, friends, or community members; or anyone who is generally concerned about a student or group. If you have witnessed or have knowledge of a possible hazing incident, report the incident immediately to the Dean of Students and/or the police. It is encouraged that you include your name so our staff can investigate and ask follow up questions. The Dean of Students staff will investigate all reports of hazing behavior, including those reported anonymously; however, be aware that Dean of Students staff's ability to investigate hazing incidents depends on the accuracy and specificity of the information you provide. You are encouraged to provide as much detail as possible so that appropriate action can be taken to address the behavior.

Feel free to contact the following departments with additional information:

Dean of Students Office: (618) 453-2461 deanofstudents@siu.edu
Fraternity & Sorority Life: (618) 453-5714 greeks@siu.edu
Student Rights & Responsibilities: (618) 536-2338 studentrights@siu.edu
Office of Student Engagement (618) 453-5714 rsohelp@siu.edu
SIU School of Music (618) 536-8742 gbrozak@siu.edu
SIU Athletics (618) 453-7250 elizabeth.jarnigan@siu.edu
Recreational Sports & Services (618) 453-1284 victor.martin@siu.edu

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* 1. Do you want to submit this report anonymously? If you choose, yes, we will not share your name with the alleged organization. If you choose "No", your name might be shared.

Yes

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* 2. Your Contact Information

First & Last Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 3. Organization Name - What is the name of the organization that you are reporting for acts of hazing?

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* 4. WHEN - When did the event(s) occur? Please provide the day & date along with any other specifics.

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* 5. WHERE - Where did the event(s) take place? Please provide an address if possible.

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* 6. TIME - What time of day did the event(s) occur?

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* 7. WHO - Who was involved in this incident/event/activity?

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* 8. OTHERS? - Are there any other people that either were present or can corroborate the information you are providing? Please provide their names and contact information (if available).

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* 9. KNOWLEDGE OF INCIDENT - How did you become aware of the event(s)?

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* 10. DESCRIPTION OF INCIDENT - Please describe the event(s) in as much detail as possible.

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* 11. ADDITIONAL INFORMATION & SUPPLEMENTAL DOCUMENTS - If you have photos and documents that could assist in the investigation (Ex. screenshots, social media posts, emails, texts, voicemail), please email them directly to deanofstudents@siu.edu. If you have any additional information that you would like to share, please use the space below.