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Residence Life Resources

Housing Options

Room Change Application (PDF)

Study Abroad Housing Information

Returning Student Housing Information

Staff

Residential Custodial Services

Additional Information

For More Information, Contact

Office of Residence Life
Culbertson/Slater House
602 E. Wayne Avenue
Wooster, Ohio 44691
P: 330-263-2498
F: 330-263-2636
reslife@wooster.edu

« Residence Life Home Page

Information Form

ACTIVITY TOOK PLACE: Location:
Report filed by:
Date: (i.e. dd/mm/yyyy)
 Hall/House:
Time:
 Room/Phone #:
 Position:

SUMMARY DATA: * = Contact Security

Drug Related*
Sales/Solicitation*
Fire Safety Incident*
Suspicious Person*
Theft*		 Building Security/Keys*
Alcohol*
Fire Safety Equipment*
Disturbance*		 Illness/Injury
Positive Comments
Guests
Roommate Conflicts		 Maintenance / Housekeeping
Elevators
Other:

PARTICIPANTS INVOLVED:

Name:
Name:
Name:
Room & Building:
 Room & Building:
 Room & Building:
Phone #:
 Phone #:
 Phone #:
Date of Birth: (i.e. dd/mm/yyyy)
 Date of Birth: (i.e. dd/mm/yyyy)
 Date of Birth: (i.e. dd/mm/yyyy)

RELEVANT INFORMATION: (What happened? | How did it happen? | How did you become aware of this?)

NOTIFICATION: WAS CAMPUS SECURITY NOTIFIED? Yes    No

Describe action taken by campus security:

OBSERVERS TO THE SITUATION:

Name:
Name:
Name:
Room & Building:
 Room & Building:
 Room & Building:
Phone #:
 Phone #:
 Phone #:

SENIOR STAFF COMMENTS:

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Last Updated: April 17, 2008 • This site updated by reslife@wooster.edu

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