About Drury
Academic Calendar
Additional Departments
Alumni & Giving
Athletics
Bookstore
Directory
Facility Hours
Giving to Drury
Library
Military
Office of Student Support Services
Safety & Security
Student Services & Resources
Working at Drury
About Drury
Academic Calendar
Additional Departments
Alumni & Giving
Athletics
Bookstore
Directory
Facility Hours
Giving to Drury
Library
Military
Office of Student Support Services
Safety & Security
Student Services & Resources
Working at Drury
MyDrury
Email
Canvas
OneLogin
MyDrury
Email
Canvas
OneLogin
Undergraduate Admission
Evening & Online
Graduate
Give
Travel Follow-Up & Accident Report
Drury University
>
Life at Drury
>
Travel Follow-Up & Accident Report
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
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
January
February
March
April
May
June
July
August
September
October
November
December
Sun
Mon
Tue
Wed
Thu
Fri
Sat
23
24
25
26
27
28
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1
2
3
4
5