Confirmation of Off-Campus Domestic/International Student Trip/Academic Space Use 

Pursuant to the Clery Act, Rowan University is required to disclose on an annual basis certain reported crime statistics that occur during University-sponsored/arranged domestic and international student trips and off-campus space usage. Information on qualifying student trips and off-campus space usage is needed by the Clery Compliance Office for follow-up with the local law enforcement agency associated with the trip/space usage location. The Clery Compliance Office will send a request to the appropriate law enforcement agency to determine if any Clery Act qualifying crimes were reported during the student trip/space usage time frame.

To comply with the law, this form must be completed for any University-sponsored student travel off-campus that involves any of the following:

  • Lodging for two or more nights
  • Lodging for only one night if there is repeated use by our students (i.e., Rowan sponsors students on an overnight trip every year and students stay in the same lodging each year,)
  • Rental of a room or facility (excluding lodging) for student use for any length of time.
  • A written agreement of any type for use of space by students.

Key considerations regarding trips off-campus:

  • Day/Field trips (with no overnight stay) do not need to be reported.
  • If the University is involved in coordinating or funding (fully, partially or reimbursement), it is considered a  University-sponsored trip.
  • If the host institution makes all of the housing arrangements for our visiting students? (Please explain details of the arrangements in space provided on this reporting form)

Please answer every question, if unknown please enter "N/A" or "Unknown." This form does not need to be completed for each student participating in the trip but is required for each different lodging location.

Direct any questions to cleryact@rowan.edu or 856-256-4562.

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Email *
Student Traveler(s) Full Name and Rowan ID# 
Note: One form may list multiple students if all are staying at the same lodging location. 
(Listing of students is not required for Sport/Club Teams)
 *
Starting Date of Travel *
MM
/
DD
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YYYY
Ending Date of Travel *
MM
/
DD
/
YYYY

Campus (Best associated with this Travel) 

 *
Department/Group Sponsoring Trip (e.g., SGA, Athletics Dept., Student Life, etc.)
 *
Is this a Rowan University sponsored trip (i.e., University is involved in coordinating or funding (fully, partially or reimbursement)?*
 *
Name of Group/Student Organization/Team, etc. going on trip ( e.g., CREATES Team, SGA, Baseball, N/A, etc.):  *
Name of Conference/Event being attended? Reason for the travel? *
Name of lodging location (i.e., hotel/Airbnb, site):  *
Lodging street address (also include City, State, Zip Code, Country):  *
Accommodations Information (Check all that apply)  *
Required
Is there a written agreement (rental contract) with this space/site?  *
Has the Department/Group used this exact lodging location before?  *
If yes, Please indicate the year(s) this exact lodging location was previously used.
Did the host institution make housing arrangements for visiting student? (i.e. No Rowan involvement)  *
If so, explain details (i.e., identify person, department, contact information at the host institution): 
Any other pertinent information that should be noted: 
A copy of your responses will be emailed to the address you provided.
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