Home
Forms Library
Clery Act Reporting Form for Student Trips

Clery Act Reporting Form for Student Trips 2026

Clery Act Reporting Form for Student Trips Preview on Page 1

See details

4.2 out of 5

30 votes

The document outlines the Clery Act Reporting Form for student trips at Hutchinson Community College, detailing the requirements for reporting crime statistics related to college-sponsored domestic and international trips. It specifies when trips should be reported based on agreements with accommodation providers and provides contact information for compliance inquiries. The form collects essential trip and accommodation details to ensure adherence to the Clery Act.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out Clery Act Reporting Form for Student Trips

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open it in the editor.
Begin by filling out the 'Contact and Trip Information' section. Enter your name, title, phone number, email address, and the sponsoring team or department. Ensure all accompanying HutchCC personnel are listed.
Specify the trip start and end dates. Confirm if all listed personnel have completed the required CSA Training by selecting 'Yes' or 'No'.
In the 'Accommodation Information' section, provide the name and address of the accommodation, including street address, city, state, zip code, and country. Also include any college-occupied floors or room numbers.
Fill in the arrival and departure dates for your stay at the accommodation.
Complete the 'Contact Information for Accommodation's Local Law Enforcement' section with agency name, address, phone number, and email.
If additional accommodations were used during the trip, repeat step 4 and 6 for each location.
Once completed, send the form to Jake Gunden via email or campus mail promptly after your trip.

Start using our platform today to easily fill out your Clery Act Reporting Form for Student Trips!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is not included in FERPA?

Other Information Not Protected by FERPA This includes such data as a students name, address, phone number, honors and awards, and other basic demographics. Schools must tell parents (or eligible students) what will be disclosed and give them an opportunity to submit an opt-out form.

What are Clery reportable locations?

Clery statistics include crime reports made at the following locations: everywhere on our campuses (residences, offices, walkways, etc.) property off campus owned by USC or a USC recognized student organization (such as Greek houses or USC office buildings) sidewalks and streets immediately adjacent to USCs campuses.

How many years should you keep records for Clery?

The Department of Education requires schools to keep these Clery Act documents for seven years.

Does the Clery Act apply to private schools?

Which schools must comply with the Clery Act? All institutions of postsecondary education, both public and private, that participate in federal student aid programs must publish and disseminate an annual campus security report as well as make timely warnings.

What are the 5 FERPA identifiers?

(a) The students name; (b) The name of the students parent or other family members; (c) The address of the student or students family; (d) A personal identifier, such as the students social security number, student number, or biometric record; (e) Other indirect identifiers, such as the students date of birth,

Security and compliance

At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.

Learn more

Does the Clery Act fall under Ferpa?

The Overlap between FERPA and the Clery Act While personally identifiable educational records are protected under FERPA, the Clery Act requires statistical reporting that includes non-personally identifiable information.

What act is FERPA known as?

FERPA, also known as the Buckley Amendment, is the Family Educational Rights and Privacy Act . It is federal legislation designed to protect the privacy of students by limiting third party access to student education records.

What three things does the Clery Act require select all that apply?

The Clery Act requires colleges and universities to report campus crime data, support victims of violence, and publicly outline the policies and procedures they have put into place to improve campus safety.

Clery Act Reporting Form for Student Trips 2026

Here's how it works