Campus Security Authority Recertification and Confirmation of Crime Reporting Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for your assistance in complying with the Clery Act. Your CSA role is a very important component to promote safety awareness on our campuses.

Please fill out the form completely to aid in the updating of our Clery compliance records. At the end of the form you are asked to confirm your review of the Recertification training information. In addition you are also asked to confirm that each incident of a Clery reportable crime that was reported to you during the prior year has been reported to Rowan University Police Department (RUPD) or the Clery Compliance Office.

Email *

First Name *

Last Name *

Rowan Campus Affiliation (Select most applicable) *

Recertification training and crime reporting confirmation *

I have reviewed the Campus Security Authority Recertification training information and understand the University's reporting obligations.

I do not have knowledge of any 2024 Clery reportable crimes, which were not previously reported to the Rowan University Police Department (RUPD) or the Clery Compliance Office. I have no new crimes to report.

Required

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Rowan University. Report Abuse

Forms