Campus Safety Impact Award Application

Campus Safety Impact Award Application

This award will highlight a program or initiative at an institution of higher education that demonstrates innovation, collaboration, and equity in enhancing safety on campus. Entries can include a recently developed or longstanding program or initiative that contributes to creating safer campus communities. Please note that capital improvements will not be considered for the award unless they are part of a larger programmatic effort or initiative. All nominated programs/initiatives must have been implemented at an institution of higher education at any point between 2018-2024.

Clery Center staff, in partnership with the Center’s National Advisory Council, will assess the entries according to how they address each of the following criteria:

Demonstration of significant impact in one or more of the following: reducing violence or harm, increasing access to or awareness of resources, enhancing feelings of safety, or improving policies and procedures related to safety
Relevance to Clery Center’s mission of creating safer campuses
Collaboration with cross-campus and/or off-campus partners
Innovation in developing new approaches to meet the evolving needs of the community
Commitment to advancing equity and inclusion

Entries can be submitted by someone directly involved in the nominated program/initiative or by someone who is familiar with it. The individual responsible for implementing the program may be contacted to provide additional information.

Entries must be received by 11:59 PM ET on Wednesday June 5.

If you encounter any difficulties while completing this application form, please contact info@clerycenter.org for assistance.

1. Applicant Email Address *This question is required. This question requires a valid email address.

2. Applicant Name *This question is required.

3. Applicant Job Title *This question is required.

4. Applicant Phone Number *This question is required.

5. Name of nominated program or initiative *This question is required.

6. Institution(s) where program or initiative was implemented *This question is required.

7. Name(s), title(s), and email(s) of key individuals that developed and/or implemented the program *This question is required.

8. Year(s) the program was developed *This question is required.

9. Year(s) the program was implemented *This question is required.

10. Please provide a 2-5 sentence description that briefly summarizes the program/initiative. *This question is required.

11. Please describe the program/initiative in detail. *This question is required.

12. What campus safety need(s) was the program designed to address? *This question is required.

13. Who was the program designed to reach (i.e. students, staff, faculty, community members)? *This question is required.

14. Who were the key stakeholders involved with the development and implementation of the program and how did they collaborate? *This question is required.

15. Did the program/initiative do any of the following? *This question is required.

Space Cell	Yes	No
Reduce violence or harm_____________	Reduce violence or harm_____________: Yes	Reduce violence or harm_____________: No
Increase access to or awareness of resources_____________	Increase access to or awareness of resources_____________: Yes	Increase access to or awareness of resources_____________: No
Enhance feelings of safety	Enhance feelings of safety : Yes	Enhance feelings of safety : No
Improve policies or procedures related to safety	Improve policies or procedures related to safety : Yes	Improve policies or procedures related to safety : No

16. How was the impact or success of the program/initiative measured? Please include any qualitative or quantitative data you have. *This question is required.

17. What impact did the program/initiative have on individual people and the campus overall? *This question is required.

18. How did equity and inclusion inform the development and implementation of the program? *This question is required.

19. Is the program ongoing? *This question is required.

Submit Supporting Materials

You may submit up to three (3) supporting materials (e.g., photos, flyers, articles) that highlight the program.
These items may be uploaded (in Question 20), shared as permalinks (in Question 21), or both.
We will only accept three (3) items in total. If you submit more, only the first three submissions will be reviewed.

20. Upload supporting materials that highlight the program.
Please name the files using this convention: YourLastName_FileName (e.g. Smith_Report)

File: {{filename}} delete

21. Share permalinks that highlight the program.

Link 1
Link 2
Link 3

Please respond to the following questions about institution demographics

22. Term level (check all that apply) : *This question is required.

4-year or more
2-year
Less than 2-year

23. Institution control (check all that apply): *This question is required.

Public
Private, not for profit
Private, for profit

24. Institution size (check only one): *This question is required.

25. Is the institution a community college? *This question is required.

26. Is the institution one of the following designations? *This question is required.

27. Please check "Yes" below to authorize Clery Center to use the information shared in this form in award-related announcements, blog posts, social media, etc. Contact information received in this form will NOT be shared to the public. *This question is required.