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Person of Concern - Report Person

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Person of Concern

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Person of Concern

Report a Person of Concern

In order to properly assist you, please answer the following questions:

Does this Report Require Urgent Attention*?:

Yes

No

You Are*:

Faculty

Staff

Student

Your Name*::

Your Title and Department (For Faculty and Staff Only)::

Your Phone Number:*:

Email Address:

Did the incident occur on ECU’s Campus?*:

Yes

No

If “yes,” please give the approximate location (i.e. Austin Building, Room 100):

Are you concerned about the safety of: (Mark all that apply)

Your Personal Safety:

Yes

No

Other Person's Safety:

Yes

No

Safety of the Campus Community::

Yes

No

Date and Time*:

If you feel that your on-line submission was not successfully submitted, please e-mail our office at dos@ecu.edu or the case manager, Anne Marie Gore at gorea@ecu.edu with a brief summary of your submission.

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252.328.9297 | Fax: 252.328.9174 | Contact Us

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