Short Stay Away Trips and Repeated use Facilities
Please complete below noted form to advise on Clery Reportable Geography locations which meet the below noted requirements:
o Short-stay "away" trips – University sponsored trips of more than one night for student travel. Include information about lodging and any classroom (other) space sponsored by University.
o Repeated Use - University sponsored travel that occurs more than once in any 365 day period. Example — student group travels to Greensboro every semester and stays at the same hotel each time.

Complete form below to report on these locations.

Email address *
University Unit *
Organization Name *
Your answer
Organization Trip *
Your answer
Arrival Date *
MM
/
DD
/
YYYY
Departure Date *
MM
/
DD
/
YYYY
Exact name and address of the location where the students stayed (Wolfpack Hotel - 123 Main Street, Raleigh, NC 12345) *
Your answer
Did this organization use this exact location in the past *
Name and contact information of Staff/Faculty Member responsible for this trip (Jane Doe - 919-515-1234) *
Your answer
Name and contact information for person completing this form (Jane Doe - 919-515-1234) *
Your answer
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