Title IX Office

Campus Security Authority (CSA) Determination Form

Campus Security Authority (CSA) Determination Form

This form is intended to assist in determining whether a campus official meets the criteria of a Campus Security Authority (CSA) under the Clery Act. Individuals who have significant responsibility for student and campus activities, or who are designated to receive reports of criminal offenses, may be considered CSAs and are therefore required to report certain crimes for Clery Act compliance. Please answer each question accurately. Your responses will help the institution ensure proper identification of CSAs and maintain compliance with federal reporting obligations. If you are identified as a CSA, you will receive additional information and training regarding your responsibilities.

Campus Security Authority )CSA) Determination Form

Name(Required)
1. Do you have responsibility for campus security or safety, even if you are not a member of a campus police or security department? (This includes individuals responsible for monitoring access to campus property or events.)(Required)
2. Are you a member of the campus police department or campus security department?(Required)
3. Do you have responsibility for reporting or responding to criminal incidents or emergencies on campus?(Required)
4. Are you an individual or office designated by the institution to whom students or employees should report criminal offenses?(Required)
5. Do you have significant responsibility for student and campus activities outside of the classroom? (Examples include student housing, student discipline, student organizations, or athletic programs.)(Required)
6. Do you advise or oversee student clubs, organizations, or Greek life?(Required)
7. Are you a coach, assistant coach, or athletic trainer for any university athletic team?(Required)
8. Do you supervise or coordinate student travel, including study abroad or off-campus trips?(Required)
9. Do you serve in a role such as a dean, director, or coordinator of student affairs, residence life, or student conduct?(Required)
10. Are you a faculty advisor to a student group or organization?(Required)
Confirmation(Required)

Campus Security Authority (CSA) Determination Form

How to Interpret the Results: - If you answered Yes to any of the questions above, you are likely considered a Campus Security Authority (CSA) under the Clery Act. - If you answered No to all questions, you are likely not a CSA.
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