Campus Security Authority (CSA) Registration Form

Please complete the form below, no partial applications will be accepted. Applicants must also read and accept the conditions and responsibilities for performing CSA services. 
*indicates required field 


Contact Information

First Name *

Last Name *

Work Phone (###-###-###)

Mobile Phone (###-###-###)

E-Mail *


Please check the appropriate CSA Classification *



Work Address

Work Address *

Work Address 2

City *

State *

Zip Code *


I Agree. *

 DATE: September 23, 2014

Dear Colleague:

I am writing to explain your role as a Campus Security Authority which is critically important for UNM Valencia’s compliance with the federal Clery Act. Please take a few minutes to read through this letter.

In April 1986, Jeanne Clery, a 19-year old first year student at Lehigh University was sexually assaulted and murdered in her dorm room. The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act, was passed by Congress in response to this tragedy out of the belief that crime awareness can help prevent crime. The Clery Act requires colleges and universities receiving federal funding to prepare, publish and distribute, by October 1 of each year, a report containing crime statistics and campus security policies. As required by the Clery Act, the crime statistics in UNM Valencia’s annual report come from crimes reported to the UNM Valencia Police Department, and Campus Security Authorities.

The Clery Act defines “Campus Security Authority” (CSA) as including not only a campus police or security department, but also institutional officials who have significant responsibility for student and campus activities. The regulations give specific examples of Campus Security Authorities and include The Director of Students Affairs, and advisors to student groups. Also, an institution may identify other officials to whom students and employees may report criminal offenses.

Based on the Clery Act regulations and UNM policy, you are a Campus Security Authority. As explained further below, what this means is if someone tells you about an incident that may be a Clery Act crime, you must record the information on a Campus Security Authority Crime Report form and immediately submit it to the UNM Valencia Police Department. The second aspect of being a Campus Security Authority is that the UNM Valencia Police Department will send you a survey form in March 2015, asking you if any crimes were reported to you in 2014. Even if you have no crimes to report, you must fill out the survey and return it to UNM Valencia Police. The U.S. Department of Education is increasing its audits of universities for Clery Act compliance. If UNM Valencia is audited we will need to show that our Campus Security Authorities participated in the survey to ensure that our annual crime statistics are complete and accurate.

What to do if someone reports a crime to you

As a Campus Security Authority, your job is not to investigate alleged crimes that may be reported to you. You do not have to determine what happened, who was at fault or find the perpetrator. What you must do is immediately report the incident to UNM Valencia Police as it was described to you on the enclosed Campus Security Authority Crime Report Form if the crime appears to be one that UNM is required to include in its annual Clery Act crime statistics. Your immediate reporting is needed so that we can make sure the incident is correctly categorized under the Clery Act. The criminal offenses for which UNM Valencia is required to disclose statistics are: murder/non-negligent manslaughter, negligent manslaughter, sex offenses (forcible and non-forcible), aggravated assault, burglary, robbery, motor vehicle theft, arson, dating violence, domestic violence, stalking, alcohol, drug and weapons law violations and hate crimes. The Campus Security Authority Crime Report Form describes these criminal offenses in more detail. If you are unsure whether the incident described to you falls into one of these crimes, your default should be to report it to UNM Valencia Police. A UNM Valencia police officer will evaluate the information on the form and will promptly follow-up with you if there are questions.

In addition to filling out the form and sending it to UNM Valencia Police, as a Campus Security Authority you should:

• Encourage the person to report the crime to police. If the crime happened on campus or at a UNM Valencia sponsored activity, encourage the person to contact UNM Valencia Police. If it happened off-campus somewhere in Valencia County, encourage the person to contact the Valencia County Sheriff or the appropriate law enforcement agency. If the person wants to report the crime but is unsure which law enforcement agency has jurisdiction, encourage him or her to contact UNM Valencia Police and we can help.

• Tell the person that you must report the incident as a statistic to UNM Valencia Police but you will not identify him/her or anyone else involved without permission. It is up to the person who reports the crime to you to decide whether he or she wants to talk to the police.

• Find out if the person needs medical help. If the person is having a medical emergency, call 911. Please see below for a listing of other campus health-related resources.

If the person reports to you that he or she was the victim of a sex offense, you will be asked to fill out a supplemental form after completing the CSA Crime Report form. Do not worry if you cannot answer all of the questions on the form; provide the information that you have from the person reporting the offense to you.  If the person gives you permission, provide his or her name and contact information to UNM Valencia Police. A police officer trained in responding to persons who have experienced sexual assault will call the person. If the person does not want to speak with police but wants information on services and programs that assist victims of sex offenses, you can tell the person about the following resources:

• Counseling for UNM faculty and staff is available at Counseling, Assistance and Referral Services (CARS). Call 272-6868.

• For more information about other campus resources, call the UNM Women’s Resource Center at 277-3716.

• For 24/7 free and confidential medical exams, contact Albuquerque SANE (Sexual Assault Nurse Examiners) Collaborative at 505-884-7263.
• For 24/7 crisis intervention, contact the Rape Crisis Center of Central New Mexico at 505-266-7711.

What to do when you receive the Campus Security Authority Survey from UNM Valencia Police

Fill it out as instructed and return the survey form to UNM Valencia Police! This is essential even if no one reported any crimes to you. You will receive the survey annually near the fiscal year end. UNM Valencia Police uses the information from the surveys to accurately report crime statistics in our annual security report which is published by October 1 each year. Also, the crime statistics are reported to the U.S. Department of Education as required under the Clery Act. You are an essential part of UNM Valencia’s Clery Act compliance. You can also help crime victims/survivors access the resources they may need to aid their recovery.

Experience tells us that many crimes and incidents are not reported to police. To ensure that students and employees know about crime on their campuses, the Clery Act requires institutions to gather and publish data from Campus Security Authorities – people like you who, because of your interactions especially with students, may be told about crimes impacting our campus community.

Thank you for your service as a UNM Valencia Campus Security Authority and thank you for taking the time to read my letter. If you have any questions about this information or what to do if someone reports a crime to you, please feel free to contact Sergeant Richard Guzman at .


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