IFC/PHA - Social Event Reporting Form

If you would like to file a complaint against an Interfraternity Council Fraternity or Panhellenic Association regarding the shared IFC/PHA Social Event Policy, please fill out this form. Please note that the form requires your name, phone number, and e-mail address. This information is necessary in order to initiate the investigative process. After your complaint is received, you will be contacted by either IFC or PHA Judicial Officer or both.

This form will likely be seen by Responsible Employees and therefore will be forwarded to the appropriate campus department as needed. Examples include, but are not limited to: Office of Student Conduct & Community Standards, Sexual Misconduct Resource and Response Program

Full Name

Date of Reporting

Your Email

Your Phone Number

I wish to remain a confidential reporter.

Date of Incident

Approximate Time of Incident

Location/Address of Incident

Chapter(s) Involved

Approximate number of people involved in the incident.

If alcohol was present, how was it being served?

Where illicit drugs present (e.g. marijuana, cocaine, etc)? If yes, please explain.

Was hazing involved? If yes, please explain.

Was violence involved? If yes, please explain.

Was there police involvement? If yes, please explain.

Was this incident reported to any other campus agency or department? If yes, please explain.

Please describe the Incident with as much factual detail as possible (photos, video, e-mails and other supporting documents may be attached below under "Supporting documentation"). Please be specific and provide information such as details of time, place, names, descriptions of people, description of incident and/or any other information that you may feel may be of value)

Additional Witnesses Present. (name, number, e-mail, affiliation)

Please attach any Supporting Documentation