Clery Webform

Instructions: Please fill out every field below to the best of your ability. All information should be historic (for any programs run in the last year, not for future programs). UAPD must have physical addresses for student housing locations in order to determine jurisdiction. If you list any type of housing below, please be sure to include a physical address.

Main Program City and Country
(If various cities or countries, list initial location)
Program Start Date (list day students should arrive) *
E.g., 02/20/2018
E.g., 02:30pm
Program End Date (list day students should depart) *
E.g., 02/20/2018
E.g., 02:30pm
Hotel Information
Apartment Information
Other
Locations
List all locations of properties or spaces where you have a pre-arranged agreement to hold program activities (classroom, lodging for excursions, other pre-arranged program activities).
Order
Dates students were present on this property
Arrival Date
E.g., 02/20/2018
E.g., 02:30pm
Departure Date
E.g., 02/20/2018
E.g., 02:30pm