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9/30/21, 7:03 AM Printable Read-Only Institution Forms

https://surveys.ope.ed.gov/campussafety/#/read-only-institution/439701002?authToken=eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJ1bmlxdWVfbmF… 1/8

Printable Read-Only Institution Forms

Registration

First Name Danielle

Last Name Carrico

Title

Director of Business Administration

Address 1

2121 E. Southlake Boulevard Address 2 (Optional)

City

Southlake

State Texas

ZIP Code 76092

Phone

8177221735 Extension (Optional)

(2)

9/30/21, 7:03 AM Printable Read-Only Institution Forms

https://surveys.ope.ed.gov/campussafety/#/read-only-institution/439701002?authToken=eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJ1bmlxdWVfbmF… 2/8

* Please use this box if you would like to provide additional contact information such as a cell phone number or the best time to reach you if there are questions about your survey. Also, if the person listed above is not the person who enters the data, please provide the name and contact information for the person who enters the data. This

information is for the survey help desk staff only. It will not be seen by the public.

Fax (Optional)

E-mail Address

[email protected] Comment

(3)

9/30/21, 7:03 AM Printable Read-Only Institution Forms

https://surveys.ope.ed.gov/campussafety/#/read-only-institution/439701002?authToken=eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJ1bmlxdWVfbmF… 3/8

Institution Information

General Information

Institution Name : The King's University

Chief Administrative Officer infomation Address 1

2121 E. Southlake Boulevard

City

Southlake

State

Select State

ZIP Code 76092

Web Address (Optional) https://www.tku.edu/

Name

Dr. Jon Chasteen

Title President

E-mail Address

[email protected]

Phone

(817) 722-1700

Extension (Optional)

(4)

9/30/21, 7:03 AM Printable Read-Only Institution Forms

https://surveys.ope.ed.gov/campussafety/#/read-only-institution/439701002?authToken=eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJ1bmlxdWVfbmF… 4/8

Campus Information

Campus Name Van Nuys Campus

Location

State or Outlying Area Other Country

Address

14800 SHERMAN WAY

City

VAN NUYS

State or Outlying Area California

ZIP Code 91405-2233

County(Optional)

Description (Optional)

(5)

9/30/21, 7:03 AM Printable Read-Only Institution Forms

https://surveys.ope.ed.gov/campussafety/#/read-only-institution/439701002?authToken=eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJ1bmlxdWVfbmF… 5/8

Campus Safety Officer

General Information

Address Name

Leanna Thompson

Title

Administer Director

E-mail Address

[email protected]

Phone

(817) 722-1673

Extension (Optional)

Location

State or Outlying Area Other Country

Address

14800 SHERMAN WAY

City

VAN NUYS

State or Outlying Area California

ZIP Code 91405-2233

(6)

9/30/21, 7:03 AM Printable Read-Only Institution Forms

https://surveys.ope.ed.gov/campussafety/#/read-only-institution/439701002?authToken=eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJ1bmlxdWVfbmF… 6/8

Campus Fire Safety Officer

General Information

Address Name

Leanna Thompson

Title

Administer Director

E-mail Address

[email protected]

Phone

(817) 722-1673

Extension (Optional)

Location

State or Outlying Area Other Country

Address

14800 Sherman Way

City

Van Nuys

State or Outlying Area California

ZIP Code 91405-2233

(7)

9/30/21, 7:03 AM Printable Read-Only Institution Forms

https://surveys.ope.ed.gov/campussafety/#/read-only-institution/439701002?authToken=eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJ1bmlxdWVfbmF… 7/8

Lead Title IX Coordinator

General Information

Address Name

Rhonda Davis

Title

VP of Enrollment Management & Student Developm

E-mail Address

[email protected]

Phone

(817) 772-1700

Extension (Optional) 1768

Location

State or Outlying Area Other Country

Address

2121 Southlake

City

Southlake

State or Outlying Area Texas

ZIP Code 76092

Does your Institution have other designees who share these responsibilities?

Yes No

(8)

9/30/21, 7:03 AM Printable Read-Only Institution Forms

https://surveys.ope.ed.gov/campussafety/#/read-only-institution/439701002?authToken=eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJ1bmlxdWVfbmF… 8/8

Update Status

Date Completed: 9/29/2021

Updated

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9/30/21, 7:06 AM 2021 Campus Safety and Security Survey

https://surveys.ope.ed.gov/campussafety/#/read-only-survey/439701002/crime?authToken=eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJ1bmlxdWVf… 1/16

2021 Campus Safety and Security Survey

Institution: (439701002) User ID: C4397011

Screening Questions

Please answer these questions carefully. The answers you provide will determine which screens you will be asked to complete for this data collection.

1. Does your institution provide On-campus Student Housing Facilities?

  No.

  Yes. (If Yes is selected, you must enter the number of student housing facilities below and enter Fire Statistics for each facility.)

  Number of On-campus Student Housing Facilities:          

0

   

2. Does your institution have any noncampus buildings or properties?

  Yes

  No

3. Have you combined statistics that you received from the local or state police with your institution statistics for this report? If you answer No to this question, you will be asked to provide the data you received from the local and state police separately.

  Yes. Local and/or state law enforcement agencies provided us with statistics that we are combining with statistics collected by our campus security authorities.

  No. We are not combining the statistics because we cannot determine whether the statistics we obtained from local and/or state law enforcement agencies are for on-campus incidents or public property incidents.

  Not available. We cannot determine if the statistics we obtained from local and/or state law enforcement agencies are for our Clery geography.

  Not available. We made a good-faith effort to obtain statistics from local and/or state law enforcement agencies, but the agencies did not comply with our request.

(10)

9/30/21, 7:06 AM 2021 Campus Safety and Security Survey

https://surveys.ope.ed.gov/campussafety/#/read-only-survey/439701002/crime?authToken=eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJ1bmlxdWVf… 2/16

Criminal Offenses - On campus

For each of the following criminal offenses, enter the number reported to have occurred On Campus.

Criminal offense Total occurrences On campus

  2018 2019 2020

a. Murder/Non-negligent manslaughter

0 0 0

b. Manslaughter by Negligence

0 0 0

c. Rape

0 0 0

d. Fondling

0 0 0

e. Incest

0 0 0

f. Statutory rape

0 0 0

g. Robbery

0 0 0

h. Aggravated assault

0 0 0

i. Burglary

0 0 0

j.

(Do not include theft from a motor vehicle)

Motor vehicle theft

0 0 0

k. Arson

0 0 0

 

Caveat:

(11)

9/30/21, 7:06 AM 2021 Campus Safety and Security Survey

https://surveys.ope.ed.gov/campussafety/#/read-only-survey/439701002/crime?authToken=eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJ1bmlxdWVf… 3/16

Criminal Offenses - Public Property

If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For (YEAR), Line (X) was changed from (A) to (B) because (REASON).”

For each of the following criminal offenses, enter the number reported to have occurred on Public Property.

Criminal offense Total occurrences on Public Property

  2018 2019 2020

a. Murder/Non-negligent manslaughter

0 0 0

b. Manslaughter by Negligence

0 0 0

c. Rape

0 0 0

d. Fondling

0 0 0

e. Incest

0 0 0

f. Statutory rape

0 0 0

g. Robbery

0 0 0

h. Aggravated assault

0 0 0

i. Burglary

0 0 0

j.

(Do not include theft from a motor vehicle)

Motor vehicle theft

0 0 0

(12)

9/30/21, 7:06 AM 2021 Campus Safety and Security Survey

https://surveys.ope.ed.gov/campussafety/#/read-only-survey/439701002/crime?authToken=eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJ1bmlxdWVf… 4/16

Hate Crimes - On campus

k. Arson

0 0 0

 

Caveat:

If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For (YEAR), Line (X) was changed from (A) to (B) because (REASON).”

For the criminal offenses listed below, first enter the total number of that were reported to have occurred . Then break down each total by category of bias (e.g., race, religion).

Hate Crimes On campus

YEAR 2020

Criminal offense Total Occurrences of Hate crimes (Category of Bias for crimes)

  Race Religion Sexual

orientationGender Gender

Identity Disability Ethnicity National Origin

a.

Murder/ Non-negligent manslaughter

0 0 0 0 0 0 0 0 0

c. Rape

0 0 0 0 0 0 0 0 0

d. Fondling

0 0 0 0 0 0 0 0 0

e. Incest

0 0 0 0 0 0 0 0 0

f. Statutory rape

0 0 0 0 0 0 0 0 0

g. Robbery

0 0 0 0 0 0 0 0 0

(13)

9/30/21, 7:06 AM 2021 Campus Safety and Security Survey

https://surveys.ope.ed.gov/campussafety/#/read-only-survey/439701002/crime?authToken=eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJ1bmlxdWVf… 5/16

h. Aggravated assault

0 0 0 0 0 0 0 0 0

i. Burglary

0 0 0 0 0 0 0 0 0

j.

(Do not include theft from a motor vehicle)

Motor vehicle theft

0 0 0 0 0 0 0 0 0

k. Arson

0 0 0 0 0 0 0 0 0

l. Simple assault

0 0 0 0 0 0 0 0 0

m. Larceny-theft

0 0 0 0 0 0 0 0 0

n. Intimidation

0 0 0 0 0 0 0 0 0

o. 

Destruction/damage/

vandalism of property

0 0 0 0 0 0 0 0 0

YEAR 2019

Criminal offense Total Occurrences of Hate crimes (Category of Bias for crimes)

  Race Religion Sexual

orientationGender Gender

Identity Disability Ethnicity National Origin

a.

Murder/ Non-negligent manslaughter

0 0 0 0 0 0 0 0 0

c. Rape

0 0 0 0 0 0 0 0 0

d. Fondling

0 0 0 0 0 0 0 0 0

e. Incest

0 0 0 0 0 0 0 0 0

(14)

9/30/21, 7:06 AM 2021 Campus Safety and Security Survey

https://surveys.ope.ed.gov/campussafety/#/read-only-survey/439701002/crime?authToken=eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJ1bmlxdWVf… 6/16

f. Statutory rape

0 0 0 0 0 0 0 0 0

g. Robbery

0 0 0 0 0 0 0 0 0

h. Aggravated assault

0 0 0 0 0 0 0 0 0

i. Burglary

0 0 0 0 0 0 0 0 0

j.

(Do not include theft from a motor vehicle)

Motor vehicle theft

0 0 0 0 0 0 0 0 0

k. Arson

0 0 0 0 0 0 0 0 0

l. Simple assault

0 0 0 0 0 0 0 0 0

m. Larceny-theft

0 0 0 0 0 0 0 0 0

n. Intimidation

0 0 0 0 0 0 0 0 0

o. 

Destruction/damage/

vandalism of property

0 0 0 0 0 0 0 0 0

YEAR 2018

Criminal offense Total Occurrences of Hate crimes (Category of Bias for crimes)

  Race Religion Sexual

orientationGender Gender

Identity Disability Ethnicity National Origin

a.

Murder/ Non-negligent manslaughter

0 0 0 0 0 0 0 0 0

c. Rape

0 0 0 0 0 0 0 0 0

d.Fondling

(15)

9/30/21, 7:06 AM 2021 Campus Safety and Security Survey

https://surveys.ope.ed.gov/campussafety/#/read-only-survey/439701002/crime?authToken=eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJ1bmlxdWVf… 7/16

0 0 0 0 0 0 0 0 0

e. Incest

0 0 0 0 0 0 0 0 0

f. Statutory rape

0 0 0 0 0 0 0 0 0

g. Robbery

0 0 0 0 0 0 0 0 0

h. Aggravated assault

0 0 0 0 0 0 0 0 0

i. Burglary

0 0 0 0 0 0 0 0 0

j. Motor vehicle theft

0 0 0 0 0 0 0 0 0

k. Arson

0 0 0 0 0 0 0 0 0

l. Simple assault

0 0 0 0 0 0 0 0 0

m. Larceny-theft

0 0 0 0 0 0 0 0 0

n. Intimidation

0 0 0 0 0 0 0 0 0

o. 

Destruction/damage/

vandalism of property

0 0 0 0 0 0 0 0 0

Caveat:

If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For (YEAR), Line (X) was changed from (A) to (B) because (REASON).”

(16)

9/30/21, 7:06 AM 2021 Campus Safety and Security Survey

https://surveys.ope.ed.gov/campussafety/#/read-only-survey/439701002/crime?authToken=eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJ1bmlxdWVf… 8/16

Hate Crimes - Public Property

For the criminal offenses listed below, first enter the total number of that were reported to have occurred on . Then break down each total by category of bias (e.g., race, religion).

Hate Crimes Public Property

YEAR 2020

Criminal offense Total Occurrences of Hate crimes (Category of Bias for crimes)

  Race Religion Sexual

orientationGender Gender

Identity Disability Ethnicity National Origin

a.

Murder/ Non-negligent manslaughter

0 0 0 0 0 0 0 0 0

c. Rape

0 0 0 0 0 0 0 0 0

d. Fondling

0 0 0 0 0 0 0 0 0

e. Incest

0 0 0 0 0 0 0 0 0

f. Statutory rape

0 0 0 0 0 0 0 0 0

g. Robbery

0 0 0 0 0 0 0 0 0

h. Aggravated assault

0 0 0 0 0 0 0 0 0

i. Burglary

0 0 0 0 0 0 0 0 0

j.

(Do not include theft from a motor vehicle)

Motor vehicle theft

0 0 0 0 0 0 0 0 0

k. Arson

0 0 0 0 0 0 0 0 0

l. Simple assault

0 0 0 0 0 0 0 0 0

(17)

9/30/21, 7:06 AM 2021 Campus Safety and Security Survey

https://surveys.ope.ed.gov/campussafety/#/read-only-survey/439701002/crime?authToken=eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJ1bmlxdWVf… 9/16

m. Larceny-theft

0 0 0 0 0 0 0 0 0

n. Intimidation

0 0 0 0 0 0 0 0 0

o. 

Destruction/damage/

vandalism of property

0 0 0 0 0 0 0 0 0

 

  YEAR 2019

Criminal offense Total Occurrences of Hate crimes (Category of Bias for crimes)

  Race Religion Sexual

orientationGender Gender

Identity Disability Ethnicity National Origin

a.

Murder/ Non-negligent manslaughter

0 0 0 0 0 0 0 0 0

c. Rape

0 0 0 0 0 0 0 0 0

d. Fondling

0 0 0 0 0 0 0 0 0

e. Incest

0 0 0 0 0 0 0 0 0

f. Statutory rape

0 0 0 0 0 0 0 0 0

g. Robbery

0 0 0 0 0 0 0 0 0

h. Aggravated assault

0 0 0 0 0 0 0 0 0

i. Burglary

0 0 0 0 0 0 0 0 0

j.

(Do not include theft from a

Motor vehicle theft

0 0 0 0 0 0 0 0 0

(18)

9/30/21, 7:06 AM 2021 Campus Safety and Security Survey

https://surveys.ope.ed.gov/campussafety/#/read-only-survey/439701002/crime?authToken=eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJ1bmlxdW… 10/16

motor vehicle)

k. Arson

0 0 0 0 0 0 0 0 0

l. Simple assault

0 0 0 0 0 0 0 0 0

m. Larceny-theft

0 0 0 0 0 0 0 0 0

n. Intimidation

0 0 0 0 0 0 0 0 0

o. 

Destruction/damage/

vandalism of property

0 0 0 0 0 0 0 0 0

  YEAR 2018

Criminal offense Total Occurrences of Hate crimes (Category of Bias for crimes)

  Race Religion Sexual

orientationGender Gender

Identity Disability Ethnicity National Origin

a.

Murder/ Non-negligent manslaughter

0 0 0 0 0 0 0 0 0

c. Rape

0 0 0 0 0 0 0 0 0

d. Fondling

0 0 0 0 0 0 0 0 0

e. Incest

0 0 0 0 0 0 0 0 0

f. Statutory rape

0 0 0 0 0 0 0 0 0

g. Robbery

0 0 0 0 0 0 0 0 0

h. Aggravated assault

0 0 0 0 0 0 0 0 0

(19)

9/30/21, 7:06 AM 2021 Campus Safety and Security Survey

https://surveys.ope.ed.gov/campussafety/#/read-only-survey/439701002/crime?authToken=eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJ1bmlxdWV… 11/16

VAWA Offenses - On Campus

i. Burglary

0 0 0 0 0 0 0 0 0

j. Motor vehicle theft

0 0 0 0 0 0 0 0 0

k. Arson

0 0 0 0 0 0 0 0 0

l. Simple assault

0 0 0 0 0 0 0 0 0

m. Larceny-theft

0 0 0 0 0 0 0 0 0

n. Intimidation

0 0 0 0 0 0 0 0 0

o. 

Destruction/damage/

vandalism of property

0 0 0 0 0 0 0 0 0

Caveat:

If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For (YEAR), Line (X) was changed from (A) to (B) because (REASON).”

For each of the following crimes, enter the number reported to have occurred On Campus.

Crime Total occurences On Campus

  2018 2019 2020

a. Domestic violence

0 0 0

b. Dating violence

0 0 0

(20)

9/30/21, 7:06 AM 2021 Campus Safety and Security Survey

https://surveys.ope.ed.gov/campussafety/#/read-only-survey/439701002/crime?authToken=eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJ1bmlxdW… 12/16

VAWA Offenses - Public Property

c. Stalking

0 0 0

 

Caveat:

If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For (YEAR), Line (X) was changed from (A) to (B) because (REASON).”

For each of the following crimes, enter the number reported to have occurred on Public Property.

Crime Total occurences on Public Property

  2018 2019 2020

a. Domestic violence

0 0 0

b. Dating violence

0 0 0

c. Stalking

0 0 0

 

Caveat:

If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For (YEAR), Line (X) was changed from (A) to (B) because (REASON).”

(21)

9/30/21, 7:06 AM 2021 Campus Safety and Security Survey

https://surveys.ope.ed.gov/campussafety/#/read-only-survey/439701002/crime?authToken=eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJ1bmlxdW… 13/16

Arrests - On campus

Arrests - Public Property

Enter the number of Arrests for each of the following crimes that occurred On Campus.

Crime Number of Arrests

  2018 2019 2020

a. Weapons: carrying, possessing, etc.

0 0 0

b. Drug abuse violations

0 0 0

c. Liquor law violations

0 0 0

Please Note: Do NOT include drunkenness or driving under the influence in liquor law violations.

 

Caveat:

If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For (YEAR), Line (X) was changed from (A) to (B) because (REASON).”

Enter the number of Arrests for each of the following crimes that occurred on Public Property.

Crime Number of Arrests

  2018 2019 2020

a. Weapons: carrying, possessing, etc.

0 0 0

(22)

9/30/21, 7:06 AM 2021 Campus Safety and Security Survey

https://surveys.ope.ed.gov/campussafety/#/read-only-survey/439701002/crime?authToken=eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJ1bmlxdW… 14/16

Disciplinary Actions - On Campus

b. Drug abuse violations

0 0 0

c. Liquor law violations

0 0 0

Please Note: Do NOT include drunkenness or driving under the influence in liquor law violations.

 

Caveat:

If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For (YEAR), Line (X) was changed from (A) to (B) because (REASON).”

Enter the number of persons for crimes that occurred for each of the following categories.

Do not include disciplinary actions that were strictly for school policy violations.

If the disciplinary action is the result of an arrest, please do not count it here; count the violation as 1 arrest.

referred for disciplinary action On Campus

Crime Number of persons referred for

Disciplinary Action

  2018 2019 2020

a. Weapons: carrying, possessing, etc.

0 0 0

b. Drug abuse violations

0 0 0

c. Liquor law violations

0 0 0

Please Note: Do NOT include drunkenness or driving under the influence in liquor law violations.

 

(23)

9/30/21, 7:06 AM 2021 Campus Safety and Security Survey

https://surveys.ope.ed.gov/campussafety/#/read-only-survey/439701002/crime?authToken=eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJ1bmlxdW… 15/16

Disciplinary Actions - Public Property

Caveat:

If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For (YEAR), Line (X) was changed from (A) to (B) because (REASON).”

Enter the number of persons for crimes that occurred on for each of

the following categories.

Do not include disciplinary actions that were strictly for school policy violations.

If the disciplinary action is the result of an arrest, please do not count it here; count the violation as 1 arrest.

referred for disciplinary action Public Property

Crime Number of persons referred for

Disciplinary Action

  2018 2019 2020

a. Weapons: carrying, possessing, etc.

0 0 0

b. Drug abuse violations

0 0 0

c. Liquor law violations

0 0 0

Please Note: Do NOT include drunkenness or driving under the influence in liquor law violations.

 

Caveat:

If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For (YEAR), Line (X) was changed from (A) to (B) because (REASON).”

(24)

9/30/21, 7:06 AM 2021 Campus Safety and Security Survey

https://surveys.ope.ed.gov/campussafety/#/read-only-survey/439701002/crime?authToken=eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJ1bmlxdW… 16/16

Unfounded Crimes

Of those crimes that occurred , in , on or in property or

buildings, and on , enter the number of crimes that were unfounded.

The total number of unfounded crimes should include all criminal offenses, hate crimes, domestic violence, dating violence, or stalking incidents that have been unfounded. Arrests and disciplinary actions cannot be unfounded.

On Campus On-campus Student Housing Facilities Noncampus Public Property

  Number

  2018 2019 2020

a. Total unfounded crimes

0 0 0

Please Note: If a reported crime is investigated by law enforcement authorities and found to be false or baseless, the crime is "unfounded." Only sworn or commissioned law enforcement personnel may unfound a crime.

Count unfounded crimes in the year in which they were originally reported.

 

Caveat:

If you have changed prior years’ data, you must add a caveat explaining the change. Use the following format: “For (YEAR), Line (X) was changed from (A) to (B) because (REASON).”

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