Incident Report



The purpose of this form is to report incidents that occur when an Albany State University student is on an education abroad or study away program. The submitted information is shared with the Office of International Education as well as the Emergency Management Team (EMT) in order to determine how best to respond or intervene.




Office of International Education


Billy C. Black Building, Room 284


504 College Drive, Albany, GA 31705


Telephone: 229-500-2021


Email: internationaleducation@asurams.edu


Reporter Information

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Incident Details

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(Ex. 900xxxxxx)

(If possible, provide full name)

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Personal Identifiable Information (PII) Notice:

All personal data and special categories of sensitive personal data collected or processed by Albany State University (ASU) must comply with the ASU Cybersecurity Program Plan, as authorized by the Board of Regents Policy Manual Section 10.4 Cybersecurity:


https://www.usg.edu/policies


Anyone suspecting his or her sensitive personal data has been exposed to unauthorized access, report your suspicion to:


LegalAffairs@asurams.edu


Otherwise, questions concerning GDPR can be forwarded to LegalAffairs@asurams.edu. Typing your name in the box below and submission of this application provides consent to and acknowledgment of the ASU Data Security and Privacy Policy.

Please check the box below to indicate that you have read and understood the PII policy above.

*Some information was adopted from the University System of Georgia International Education Office and University of North Georgia Center for Global Engagement

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