{"id":1325,"date":"2018-11-13T20:40:25","date_gmt":"2018-11-13T20:40:25","guid":{"rendered":"https:\/\/www.missouriwestern.edu\/policedepartment\/?page_id=1325"},"modified":"2018-11-13T20:40:25","modified_gmt":"2018-11-13T20:40:25","slug":"csa-crime-statistic-report-form","status":"publish","type":"page","link":"https:\/\/www.missouriwestern.edu\/policedepartment\/csa-crime-statistic-report-form\/","title":{"rendered":"CSA Crime Statistic Report Form"},"content":{"rendered":"<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_unknown gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_4' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_4'  action='\/policedepartment\/wp-json\/wp\/v2\/pages\/1325' data-formid='4' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_4' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_4_1\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_1\" ><label class='gfield_label gform-field-label' >If no crimes were reported to you this year, check the box below, enter your name and phone number. This form is being used to document that you have received this reporting form and that no crimes were reported to you for the previous reporting cycle.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_1'>\n\t\t\t<li class='gchoice gchoice_4_1_0'>\n\t\t\t\t<input name='input_1' type='radio' value='No crimes were reported to me this year'  id='choice_4_1_0'    \/>\n\t\t\t\t<label for='choice_4_1_0' id='label_4_1_0' class='gform-field-label gform-field-label--type-inline'>No crimes were reported to me this year<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_1_1'>\n\t\t\t\t<input name='input_1' type='radio' value='Yes, crime(s) were reported to me this year'  id='choice_4_1_1'    \/>\n\t\t\t\t<label for='choice_4_1_1' id='label_4_1_1' class='gform-field-label gform-field-label--type-inline'>Yes, crime(s) were reported to me this year<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_2\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_2\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Reporting Person<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_4_2'>\n                            \n                            <span id='input_4_2_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_2.3' id='input_4_2_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_4_2_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_4_2_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_2.6' id='input_4_2_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_4_2_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_4_20\" class=\"gfield gfield--type-email gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_20\" ><label class='gfield_label gform-field-label' for='input_4_20'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_20' id='input_4_20' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_4_3\" class=\"gfield gfield--type-phone gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_3\" ><label class='gfield_label gform-field-label' for='input_4_3'>Phone Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_3' id='input_4_3' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_4\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_4\" ><p><b>Complete this box if a crime was reported to you. If more than one crime was reported to you, fill out one of these forms for each crime reported.<\/p>\n\n<p>The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act (\u201cClery Act\u201d)<\/b> found in <a href=\"https:\/\/www.gpo.gov\/fdsys\/pkg\/USCODE-2011-title20\/html\/USCODE-2011-title20-chap28-subchapIV-partF-sec1092.htm\" target=\"_blank\"><b>20 U.S.C.\u00a71092(f)<\/b><\/a> requires the University to compile and report information on certain crimes, including certain types of sexual violence\/assault. As noted by this law, all Universities receiving federal financial aid must report the statistical information on crimes that occur on campus and include them in an annual report.The statistical information collected for this report will not contain any names or specific locations (e.g..room numbers) to maintain the confidentiality of a victim.<\/p>\n\n<p>Online CSA Training<br \/>\nClick <a href=\"https:\/\/www2.ed.gov\/campus-crime\/HTML\/cc_off\/Collecting\/Crime_Stats_p_01.html\" target=\"_blank\"><b>here<\/b><\/a> to get to the original website (slides 1-15 only)<\/p>\n\n<p>Please visit the <a href=\"https:\/\/www.missouriwestern.edu\/titleix\/\" target=\"_blank\"><b>Title IX Policies and Procedures<\/b><\/a> website in regards to the obligations for responsible employees at ΄σΟσ΄«Γ½.<\/p>\n\n<p>Please review the Background on Statistical Reporting Requirements Under the Clery Act for any question on crime classifications.<\/p><\/li><li id=\"field_4_5\" class=\"gfield gfield--type-radio gfield--type-choice gf_list_2col gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_5\" ><label class='gfield_label gform-field-label' >Crime Classification<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_5'>\n\t\t\t<li class='gchoice gchoice_4_5_0'>\n\t\t\t\t<input name='input_5' type='radio' value='Aggravated Assault'  id='choice_4_5_0'    \/>\n\t\t\t\t<label for='choice_4_5_0' id='label_4_5_0' class='gform-field-label gform-field-label--type-inline'>Aggravated Assault<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_5_1'>\n\t\t\t\t<input name='input_5' type='radio' value='Burglary'  id='choice_4_5_1'    \/>\n\t\t\t\t<label for='choice_4_5_1' id='label_4_5_1' class='gform-field-label gform-field-label--type-inline'>Burglary<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_5_2'>\n\t\t\t\t<input name='input_5' type='radio' value='Fondling'  id='choice_4_5_2'    \/>\n\t\t\t\t<label for='choice_4_5_2' id='label_4_5_2' class='gform-field-label gform-field-label--type-inline'>Fondling<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_5_3'>\n\t\t\t\t<input name='input_5' type='radio' value='Hate Crime - Larceny'  id='choice_4_5_3'    \/>\n\t\t\t\t<label for='choice_4_5_3' id='label_4_5_3' class='gform-field-label gform-field-label--type-inline'>Hate Crime - Larceny<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_5_4'>\n\t\t\t\t<input name='input_5' type='radio' value='Hate Crime - Vandalism'  id='choice_4_5_4'    \/>\n\t\t\t\t<label for='choice_4_5_4' id='label_4_5_4' class='gform-field-label gform-field-label--type-inline'>Hate Crime - Vandalism<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_5_5'>\n\t\t\t\t<input name='input_5' type='radio' value='Liquor Law'  id='choice_4_5_5'    \/>\n\t\t\t\t<label for='choice_4_5_5' id='label_4_5_5' class='gform-field-label gform-field-label--type-inline'>Liquor Law<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_5_6'>\n\t\t\t\t<input name='input_5' type='radio' value='Murder\/Non-Negligent Manslaughter'  id='choice_4_5_6'    \/>\n\t\t\t\t<label for='choice_4_5_6' id='label_4_5_6' class='gform-field-label gform-field-label--type-inline'>Murder\/Non-Negligent Manslaughter<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_5_7'>\n\t\t\t\t<input name='input_5' type='radio' value='Rape'  id='choice_4_5_7'    \/>\n\t\t\t\t<label for='choice_4_5_7' id='label_4_5_7' class='gform-field-label gform-field-label--type-inline'>Rape<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_5_8'>\n\t\t\t\t<input name='input_5' type='radio' value='Statutory Rape'  id='choice_4_5_8'    \/>\n\t\t\t\t<label for='choice_4_5_8' id='label_4_5_8' class='gform-field-label gform-field-label--type-inline'>Statutory Rape<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_5_9'>\n\t\t\t\t<input name='input_5' type='radio' value='Arson'  id='choice_4_5_9'    \/>\n\t\t\t\t<label for='choice_4_5_9' id='label_4_5_9' class='gform-field-label gform-field-label--type-inline'>Arson<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_5_10'>\n\t\t\t\t<input name='input_5' type='radio' value='Drug Violations'  id='choice_4_5_10'    \/>\n\t\t\t\t<label for='choice_4_5_10' id='label_4_5_10' class='gform-field-label gform-field-label--type-inline'>Drug Violations<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_5_11'>\n\t\t\t\t<input name='input_5' type='radio' value='Hate Crime - Intimidation'  id='choice_4_5_11'    \/>\n\t\t\t\t<label for='choice_4_5_11' id='label_4_5_11' class='gform-field-label gform-field-label--type-inline'>Hate Crime - Intimidation<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_5_12'>\n\t\t\t\t<input name='input_5' type='radio' value='Hate Crime - Simple Assault'  id='choice_4_5_12'    \/>\n\t\t\t\t<label for='choice_4_5_12' id='label_4_5_12' class='gform-field-label gform-field-label--type-inline'>Hate Crime - Simple Assault<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_5_13'>\n\t\t\t\t<input name='input_5' type='radio' value='Incest'  id='choice_4_5_13'    \/>\n\t\t\t\t<label for='choice_4_5_13' id='label_4_5_13' class='gform-field-label gform-field-label--type-inline'>Incest<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_5_14'>\n\t\t\t\t<input name='input_5' type='radio' value='Motor Vehicle Theft'  id='choice_4_5_14'    \/>\n\t\t\t\t<label for='choice_4_5_14' id='label_4_5_14' class='gform-field-label gform-field-label--type-inline'>Motor Vehicle Theft<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_5_15'>\n\t\t\t\t<input name='input_5' type='radio' value='Negligent Manslaughter'  id='choice_4_5_15'    \/>\n\t\t\t\t<label for='choice_4_5_15' id='label_4_5_15' class='gform-field-label gform-field-label--type-inline'>Negligent Manslaughter<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_5_16'>\n\t\t\t\t<input name='input_5' type='radio' value='Robbery'  id='choice_4_5_16'    \/>\n\t\t\t\t<label for='choice_4_5_16' id='label_4_5_16' class='gform-field-label gform-field-label--type-inline'>Robbery<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_5_17'>\n\t\t\t\t<input name='input_5' type='radio' value='Weapons Law Violation'  id='choice_4_5_17'    \/>\n\t\t\t\t<label for='choice_4_5_17' id='label_4_5_17' class='gform-field-label gform-field-label--type-inline'>Weapons Law Violation<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_6\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_6\" ><label class='gfield_label gform-field-label' for='input_4_6'>Location of Incident (building name or address)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_4_6' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_4_7\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_7\" ><label class='gfield_label gform-field-label' for='input_4_7'>Date Incident Reported (mm\/dd\/yyyy)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_7' id='input_4_7' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_7_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_4_7_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_7' class='gform_hidden' value='https:\/\/www.missouriwestern.edu\/policedepartment\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_8\" class=\"gfield gfield--type-time gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_8\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Time Incident Reported<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_complex gform-grid-row\"><div class=\"clear-multi\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_4_8'>\n                            <input type='number' maxlength='2' name='input_8[]' id='input_4_8_1' value=''  min='0' max='12' step='1'  placeholder='HH' aria-required='true'   \/> <i>:<\/i>\n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_4_8_1'>Hours<\/label>\n                        <\/div>\n                        \n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <input type='number' maxlength='2' name='input_8[]' id='input_4_8_2' value=''  min='0' max='59' step='1'  placeholder='MM' aria-required='true'  \/>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_4_8_2'>Minutes<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time below gform-grid-col' >\n                                \n                                <select name='input_8[]' id='input_4_8_3'  >\n                                    <option value='am' >AM<\/option>\n                                    <option value='pm' >PM<\/option>\n                                <\/select> \n                                <label class='gform-field-label gform-field-label--type-sub am_pm_label screen-reader-text' for='input_4_8_3'>AM\/PM<\/label>                                \n                           <\/div>\n                    <\/div><\/div><\/li><li id=\"field_4_9\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_9\" ><label class='gfield_label gform-field-label' for='input_4_9'>Date Incident Occured (mm\/dd\/yyyy)<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_9' id='input_4_9' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_9_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_4_9_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_9' class='gform_hidden' value='https:\/\/www.missouriwestern.edu\/policedepartment\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_10\" class=\"gfield gfield--type-time field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_10\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Time Incident Occured<\/label><div class=\"ginput_container ginput_complex gform-grid-row\"><div class=\"clear-multi\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_4_10'>\n                            <input type='number' maxlength='2' name='input_10[]' id='input_4_10_1' value=''  min='0' max='12' step='1'  placeholder='HH' aria-required='false'   \/> <i>:<\/i>\n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_4_10_1'>Hours<\/label>\n                        <\/div>\n                        \n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <input type='number' maxlength='2' name='input_10[]' id='input_4_10_2' value=''  min='0' max='59' step='1'  placeholder='MM' aria-required='false'  \/>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_4_10_2'>Minutes<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time below gform-grid-col' >\n                                \n                                <select name='input_10[]' id='input_4_10_3'  >\n                                    <option value='am' >AM<\/option>\n                                    <option value='pm' >PM<\/option>\n                                <\/select> \n                                <label class='gform-field-label gform-field-label--type-sub am_pm_label screen-reader-text' for='input_4_10_3'>AM\/PM<\/label>                                \n                           <\/div>\n                    <\/div><\/div><\/li><li id=\"field_4_12\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_12\" ><label class='gfield_label gform-field-label' for='input_4_12'>Brief description of the incident<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_12' id='input_4_12' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_4_13\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_13\" ><label class='gfield_label gform-field-label' for='input_4_13'>Did the crime occur in a building?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_13' id='input_4_13' class='medium gfield_select'    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