University Sponsored Trip to Non-Campus Locations

To comply with the Clery Act, universities are required to disclose statistics for specific crimes that occur during university-sponsored trips to non-campus locations that are frequently used by students, controlled by the university during a trip (e.g., a lease or rental agreement is in place to include hotel rooms), and used to support educational purposes. 

The form should be filled out by a single point of contact for the university sponsored trip.  This is typically a staff or faculty member.  

Penn State University is required to request from the local law enforcement agencies Clery Act crime statistics that occurred during a qualifying Penn State-sponsored trip. Any statistics that are required by the Clery Act to be disclosed to the public will be reported in Penn State’s Annual Security Report and Annual Fire Safety Report.

Please submit this form for Domestic (within the U.S.) University-sponsored trips that meet the following “submit form” requirements.

  • If the trip takes place internationally, please report the trip through the Travel Safety Network (TSN), tsn@psu.edu or contact the Office of Global Programs at 814-863-8788.
  • For a Recognized Student Organization at the University Park campus, please report the trip through the Travel Registration Form in OrgCentral. For questions, contact the Student Organization office at studentorg@psu.edu or 814-863-4624.
Should you submit the Trip Reporting Form?
SUBMIT THIS FORM IF YOUR TRIP IS: DO NOT SUBMIT THIS FORM IF YOUR TRIP IS:

University-sponsored overnight trip at repeat lodging location

University-sponsored field trip at  locations that the University does not own or control (no overnight stays or contractual agreements for control of space)

University-sponsored short-stay “away” trips of more than one night

One overnight, University-sponsored trip (not a repeat trip to repeat location)

University-sponsored field trip to locations owned or controlled by the University (no overnight stay required)

Non-University sponsored private trips by students regardless of length of trip

If you have any questions on whether your trip should be reported, please contact the Clery Act Compliance Department at cleryform@psu.edu. 

University Sponsored Trip to Non-Campus Locations Reporting Form

Contact Information
Trip Details
(i.e. lodging/hotel, conference facility, or other contracted location).
Written Location Agreement?
A written agreement is an agreement directly between the university and the end provider for trip accommodations and/or use of the space. The written agreement can be in the form of a formal contract, a hotel reservation, lease, or email.
Date students will be arriving at this location.
Date students will be departing this location.
Please provide the following information: Name of Location, Street Address, City, State, Postal/Zip Code, University Occupied room numbers (if applicable).
Please include: Name of Local Law Enforcement Agency, Address, City, State, Postal/Zip Code, Phone Number, Email Address (if known).
Were additional accommodations locations used for this trip?
Please provide the following information: Name of Location, Street Address, City, State, Postal/Zip Code, University Occupied room numbers (if applicable).
Please provide the following information: Name of Local Law Enforcement Agency, Address, City, State, Postal/Zip Code, Phone Number, Email Address (if known).