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MyDrury
Email
Canvas
OneLogin
Undergraduate Admission
Evening & Online
Graduate
About Drury
Academic Calendar
Additional Departments
Alumni & Giving
Athletics
Bookstore
Directory
Diversity, Equity and Inclusion
Facility Hours
Giving to Drury
Library
Military
Safety & Security
Student Services & Resources
Working at Drury
Travel Follow-Up & Accident Report
Drury University
>
Life at Drury
>
Travel Follow-Up & Accident Report
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Basic Information
Organization Name
*
All hotel room numbers*
*
*This information is required for Clery Reporting – if travel was not overnight, please put N/A.
Follow-up Reporting
Were any travel participants involved in an accident/injury?
*
Yes
No
Were any travel participants involved in a policy violation or questionable behavior?
*
Yes
No
Incident Details
Name
First
Last
Drury ID Number
Student or Employee?
Student
Employee
Phone Number
Was police or ambulance involved in this incident?
Police
Ambulance
None
Date & Time
Date
Time
Location of Incident
Detailed Description of How Incident Occurred:
Witnesses to Incident:
Student Organization/Campus Advisor Confirmation:
Your Name
*
First
Last
Your Position
*
President
Vice President
Secretary
Treasurer
Campus Advisor
Submit