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Any James Madison University employee or volunteer who leads a trip or program in which students are traveling is required to submit that information via this form for each trip or program. This is required for compliance with the the Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act (20 U.S.C. § 1092; 34 CFR 668.46), commonly known as the "Clery Act".

Information submitted via this form allows the Clery Compliance Officer to determine if the University had control over the space and, if so, contact relevant law enforcement agencies for reports on incidents that may have occurred at those locations while the trip or program occurred.
It is important that you submit information as soon as possible to ensure the proper assessment and follow-up can be conducted. 

For more information about this process, contact LeeAnn Shreve, Clery Compliance Officer, at shrevelm@jmu.edu.  
Group Name
Name and Title of Person Completing Form:
Name and Title of Person(s) in Charge of Trip:
Phone Number of Person(s) in Charge:
Email Address of Person(s) in Charge:
Name of Event/Purpose of Trip:
Please identify if your trip will be overnight or one-day:
Please identify if your trip will be overnight or one-day:
Destination (City, State and Country if other than USA)
Departure Date from JMU:
Return Date to JMU:
Method of Travel: 
If staying overnight, please list the lodging sites, addresses, and phone numbers:
Please submit the travel roster with room assignments to the Clery Officer at shrevelm@jmu.edu; be sure to include group name, dates and destination on roster (if you will not have room lists until your return, at that time, email list to clerycompliance@jmu.edu, and in subject line, please list trip name and dates):  
Full list of attendees (please include First & Last Name) - or if you prefer to upload an Excel spreadsheet or other type of file with this information, please do so in the NEXT question: 
Row 2
If preferred, upload an Excel spreadsheet with the full list of attendees (please include First & Last Name) instead of manually filling in the previous question. 
If known, please list the types of funds being used to support this trip (i.e., SGA funds, JMU paid, JMU to reimburse students after trip, student self-pay, recognized student organization independent funds paid, etc.)
How often is this particular trip taken? 
How often is this particular trip taken? 
If this trip is repeated, we stay at: 
If this trip is repeated, we stay at: 
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