BETHUNE-COOKMAN UNIVERSITY

   Type of Crime

--Select-- Alcohol Law Violations Assault Auto Theft Domestic Violence Drugs Fraud Hit and Run Accident Sexual Assault/Rape Theft Threats/Harassment Vandalism Weapons Violence Cyber Bullying Hazing Sexual Violence Other

   Location of Incident

-- Select -- Faith Hall Graduate Bldg General Studies Nursing Bldg Bethune Foundation House Ranslow Hall Registrar Library Zimmerman Infirmary Kottle Pugh Parlin Center LLC Meigs Hall Russ Bldg Ja-Flo Hall Wesley House Joyner Hall Lee Rhyant Curtis Hall Model Street Housing Ann Taylor Coaches Center Fine Arts CCE Holmes Business OSS – Operations Physical Plant Music Bldg Music Bldg Annex Accounts Payable Harrison Rhodes LeFerve Hall John O. Gross Science Admissions Gymnasium Judson McPhillips Bronson Bronson Annex Larry Little Financial Aid PAC Center Lincoln Street Area State Street Martin Luther King Jr. Blvd Mary McLeod Bethune Blvd White Hall Chapel Band Field Other/Off-Campus

   Date of Incident

mm/dd/yy

   Time of Incident

  AM    PM

   Explain the Incident  

   (What happened and why you believe

   a crime occurred or may occur.)

   Suspect's Name

   Suspect's Gender

-- Select -- Female Male Unknown

   Suspect's Race

-- Select -- American Indian or Alaskan Native Asian or Pacific Islander Black White Unknown

   Suspect's Hair Color

-- Select -- Bald Black Blonde or Strawberry Brown Gray Red or Auburn White Unknown

   Suspect's Eye Color

-- Select -- Black Blue Brown Green Grey Hazel Unknown

   Suspect's Height

  feet / inches

   Suspect's Weight

  pounds

   Suspect's Identifying Characteristics

   Suspect's Vehicle Description

   Victim's Name

   Victim's Description (If Name Unknown)

   Other Helpful Information

   Your Name (optional)

   Your Email (optional)

   Your Telephone (optional)