Report a Concern

Incident Reporting Form

If you or someone involved is in an emergency, call 911.

This report should be used to provide information to the International Organization regarding concerns of individual member/chapter behaviors or policy violations. Alpha Delta Pi strives to keep the reporter's identity confidential, whenever possible. A report may be completed anonymously by omitting the name and contact information from the form. Reporters should be aware, however, that this may limit Executive Office staff and/or International Officers from completing a thorough inquiry/investigation into the matter. Please fill out all applicable fields providing as much information as you are able. This will give Alpha Delta Pi the opportunity to offer the most effective and appropriate support. Any attachments providing additional information or context should be submitted with this form. Thank you for taking the time to report your concern. If you want to speak with a staff member about your concerns, please call our office at (404) 378-3164

Did this concern occur in an Alpha Delta Pi house/facility? *
Time of Concern *
Type of Incident *
Upload Any Necessary Documents
Maximum upload size: 134.22MB