Career Strategy Fellowships Study Abroad Summer Session

Incident Report Form

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Note: Please use this form to report any incidents that occur during the program. Examples of incidents to include are given below. If you are having technical difficulties completing this form, please contact Kelly McLaughlin with the details of the incident:

Kelly McLaughlin, Study Abroad Director

Office: (203) 432-0241
Cell: (203) 500-6051
24 Hour Yale Security: (203) 785-5555
kelly.mclaughlin@yale.edu

Examples of incidents that should be reported:

  • Behavioral issues and/or disruptions to individual/group dynamics
  • Damage to program facilities
  • Lost or stolen property
  • Recurring alcohol abuse (e.g. impacts participation in social or academic activities)
  • Accident with or without injuries (e.g. bicycle or car)
  • Harassment (e.g. aggressive pressure or intimidation)
  • Psychological issues (e.g. sudden onset of psychological condition)
  • Minor injury when student is admitted to the hospital (e.g. broken wrist)
  • Theft that involves assault or break-in (e.g. mugging, homestay break-in)
  • Political/civil unrest (e.g. significant involvement of local authorities)
  • Physical assault
  • Allegations of sexual assault (see “Handling an Incident of Sexual Assault Abroad”)
  • Multiple injuries and/or multiple stays or long-term hospitalization
  • Possible need for medical evacuation
  • Removing student from the program (willing or unwillingly)
  • Violent protests or riots, bomb threats, significant political unrest that disrupts the program, or threatens student safety
  • Natural disasters that disrupt the program, or threaten student safety
  • Public health risks/infectious disease outbreaks
  • Immediate risk to student or group (natural disaster, public health risk)
  • Life threatening medical emergency
  • Kidnapping
  • Arrest or impending arrest
  • Confirmed missing student
  • Political environment that has become unsafe for students or poses immediate risk
  • Serious threats of terrorism or war
  • Hospitalization with life-threatening injuries
  • Severe psychological problems that render a student a threat to him/herself or others
  • Student death

Immediately contact Kelly McLaughlin if the incident involves any of the following:

  • Arrest
  • Assault    
  • General Disorder, Natural Disaster, or Terrorist Event
  • Hospitalization for accident/injury or severe illness
  • Missing Person
  • Psychological Crisis
  • Traffic or pedestrian accident involving student(s)
  • Serious Injury or Death

How to Complete this Form

Please complete all relevant information below and submit within 24 hours. You might not need to, or be able to, complete all sections. Please provide as much detail as possible, and that is reasonably available to you at this time. You can follow-up to add or revise information as needed.

Incident Report Completed by

Basic Information

Incident Information

:

Medical Information (if applicable)

Notifications

Sexual Assault

All information about incidents of sexual misconduct must be reported to the designated Title IX Coordinator for Yale College. You are not obligated to share identifiable information with the Study Abroad office. You, or the student, can contact the Title IX Coordinator directly.

An incident of sexual harassment and/or assault must be reported to the Yale University Title IX Coordinator and Title IX Coordinator for Yale College. For contact information, please see: https://provost.yale.edu/title-ix/coordinators.

Incident Report Form Submission

Incident Report Forms are confidential and the contents should not be shared with anyone other than the Study Abroad Director. Please submit this completed form within 24 hours.

Alternatively, please call/email and share the necessary details if you are having trouble with this form.

Kelly McLaughlin, Study Abroad Director
kelly.mclaughlin@yale.edu

Kelly’s Direct Line: (203) 432-0241
Kelly’s Cell Phone: (203) 500-6051
Study Abroad Line: (203) 432-8684 (request transfer to Kelly’s direct line)

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