Hazing Reporting Form

This form is to report any suspected acts of Hazing that have occurred in connection with a Thomas Jefferson University organization as defined under Pennsylvania’s Anti-Hazing Law and the federal Stop Campus Hazing Act.  It applies to all Organizations whether they or their facilities are located or the conduct occurs on or off the University campus. Hazing of a student by any Organization or group or its members is absolutely prohibited. 

Please provide the following information

Does the involved party want the Department of Public Safety to contact them about this incident? *
Is the date of the incident known?
Please add approximate time, and as much detail regarding the situation as it transpired, in terms of who and what regarding the infraction and/or concern.
(street address / building name)
Did the incident occur on Thomas Jefferson University owned, controlled or leased property?  *

Click to view more information on Thomas Jefferson University locations in Voorhees, NJ; Horsham, PA (Dixon); Trevose, PA (Bucks County Technology Park) and Spring House, PA (Jefferson Institute for Bioprocessing). 

View virtual campus maps for our East Falls and Center City campuses (select appropriate location for detailed map).

Did the alleged incident occur at a Thomas Jefferson University sponsored event or activity? *