CSA Self Registration
This form is to notify the Clery Compliance Officer that you are self identifying as a Campus Security Authority (CSA) for Clery purposes. Once the form is complete, your supervisor will be contacted for verification and you will be assigned CSA training in Canvas.
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First Name *
Last Name *
Email Address *
UNCG Username *
Phone Number
Job Title *
Department/Sport *
Supervisor Name *
Supervisor Email *
Supervisor Phone Number
Why do you think you are a CSA?
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