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County College of Morris (County College of Morris)

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BROWSE COUNTY COLLEGE OF MORRIS FORMS

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1
County College of Morris
Clery Act: Reporting Requirements for CCM sponsored Student Trips to Off-
Campus Locations or Use of Off-Campus Academic Space
The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act (Clery Act) requires
County College of Morris (CCM) to report publicly on any Clery Act defined crimes that occur:
1) On Campus – any building or property owned or controlled by CCM within the same contiguous geographic
area and used by CCM in direct support of, or in a manner related to CCM’s educational purposes.
2) On Public Property within or immediately adjacent to CCM’s campus and accessible from the campus.
3) In an Off-Campus building or property that CCM owns or controls that is used in direct support or, or in
relation to, the institutions educational purposes, is frequently used by students, and is not within the same
reasonably contiguous geographic area of CCM.
Note: (see CCM Public Safety Annual Security Report for crime definitions at: http://www.ccm.edu/wp-
content/uploads/pdf/safety/right-to-know.pdf
CCM personnel who are responsible for students on CCM sponsored trips (both domestic and international) are
considered “Campus Security Authorities” (CSAs) under the Clery Act, and are responsible for completing the
report form below and completing CSA training prior to student trips to off-campus locations.
To comply with the Clery Act, this form MUST be completed for ANY CCM sponsored trip off campus that
involves any of the following:
the rental of a room or facility (excluding lodging) for any length of time, or
lodging for two or more nights, or
lodging for only one night if there is repeated use by CCM students (example: stay in the same
hotel / lodging each year)
Key considerations for “Student Trips to Off-Campus Locations”:
If travel is involved, is it a CCM sponsored trip?
Is there a written agreement of any type?
Is this a repeated use of a location for CCM sponsored trips?
Does the host institution make all the housing arrangements for our visiting students?
Day / field trips do not require reporting
This report form MUST be completed and submitted within one week after the Off–Campus trip or use
of Off-campus space. Completed forms are to be emailed to: publicsafety@ccm.edu
This reporting is required by law and represents our ongoing effort to be compliant with the Clery Act. If you
have any questions, please contact the Department of Public Safety (973-328-5550) or the CCM College
Compliance Officer (973-328-5551)
2
County College of Morris
Clery Act: Reporting Requirements for CCM sponsored Student Trips to Off-
Campus Locations or Use of Off-Campus Academic Space
This form MUST be completed for ANY Clery Act defined Off-Campus trips or use of Off-campus academic
space.
This form MUST be submitted within one week after the Off–Campus trip to publicsafety@ccm.edu
Please answer every question. If not known, please enter “unknown”.
__________________________________________________________________________________________
Is the travel a College sponsored trip? Yes No
Is there a written agreement of any type involved? Yes No
Copies of rental agreement (formal or informal) should be attached to this form when submitted.
If yes, explain details (contact person, dept., host institution, contact information)
Trip Date(s):
Starting: Ending:
Check In Time: Check Out Time:
College Department / Group Sponsoring Trip (example: Athletic Dept., Campus Life)
Name of Group / Organization / Team, etc. going on trip (example: Softball Team, SGA)
College Responsible Person (Clery Act – Campus Security Authority – “CSA”)
CSA’s Office Address / Office Phone #/ Cell # / Email Address
3
County College of Morris
Clery Act: Reporting Requirements for CCM sponsored Student Trips to Off-
Campus Locations or Use of Off-Campus Academic Space
The Clery Act outlines legal responsibilities of CSAs who must receive annual Clery Act training.
Has the CSA completed CCM’s CSA Training within the past 12 months: Yes No
Name of Site / Building / Hotel / Location:
Address (City, State, Zip and Country) of Location:
Accommodations Information (Floor, Room #’s, Building, etc.):
Has your Department / Group used this location before? Yes No
Name / Title Contact Information for Location Representative:
Telephone and Email Contact Information for Location Representative:
Name of local Law Enforcement Jurisdiction for Clery Reporting Contact:
Did the Host Institution make all the housing arrangements for our visiting students (no College
involvement)? Yes No
Any other pertinent information please include below:
Thank you for your assistance. Email the completed form to: publicsafety@ccm.edu
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Completed 26 July 2020

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