Incident Report Form
Thank you for contacting Delta Kappa Epsilon International Fraternity
Any person may report an incident or suspected misconduct by a Chapter or Member of the Fraternity. Based upon the information you provide, the International Fraternity will investigate and address your report as appropriate. Once you submit this form, you may be contacted by a member of the International Fraternity Headquarters Staff. Reporting party names and other personal identifying information is treated as confidential and is not released to the chapter, undergraduate members, or any other person without a legitimate need to know. Reporting an incident anonymously or with incomplete details regarding the incident may limit the Fraternity's ability to respond to the report due to a lack of information. If you have any questions, please email conduct@dke.org or call the International Fraternity Headquarters at 734-302-4210
IF THERE IS IMMEDIATE RISK TO LIFE OR SAFETY, CALL 9-1-1
After, please call the headquarters at 734-302-4210 and select the "crisis" option
Reporting Party Information
Please provide as much information as you are comfortable. Please remember that your information is kept confidential.
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
What category best describes you
*
Please Select
Undergraduate Member
Associate Member (New Member)
Parent or Family Member
University/College Staff
Friend
Student Non-Member
Alumnus
Other
University/College Staff Title
Incident Information
Please provide as much detail as possible and fully describe the incident.
At what university or college did/will the incident take place?
*
When did/will the incident occur?
*
-
Month
-
Day
Year
Date (If you are unsure, please use your best estimate)
At approximately what time did/will the incident occur?
Hour Minutes (If you are unsure, please use your best estimate) Minutes
AM
PM
AM/PM Option
Where, specifically, did/will the incident take place?
What are the general concerns related to this incident?
*
Alcohol/Social Event Management
Hazing
Sexual Misconduct
Drugs
Physical Assault
Administrative
Financial
Other
Who is involved?
Names & descriptions are helpful (John, my son/Brandon, the president)
Incident Narrative: Please be as detailed as possible.
*
"Who, What, Where, When" and describing behavior in detail
Please upload any supporting information
Browse Files
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Choose a file
Texts, photos, videos, files, etc.
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Would you like to go ahead and schedule a call from an International Fraternity Headquarters staff member?
Yes
This is only provided for your scheduling convenience. An International Fraternity Headquarters staff member may still reach out if you provided contact information. If your report is deemed time sensitive, the staff may contact you prior to your desired appointment. If you are unable to find an appointment that works with your schedule, please email conduct@dke.org for assistance.
Appointment Scheduler
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