Online CARE Report

The CARE form can be used to report your concerns about a student who may be struggling with social, emotional, behavioral, academic, medical, mental health, or physical endangerment issues. The report goes to the Chair of the CARE Team who works with the rest of the team to intervene and provide resources for the student.

Faculty and staff may also use the form to request a consultation with the CARE team to determine how to address a problem with a student. Additionally, the form can also be used as a means to follow up on your initial report.

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CARE Public Form

Reporter's Name

Please provide your full name.

Reporter's Email

Please provide your email address so that we can contact you if we have follow up questions about this report.

Reporter's Phone

Please provide your phone number so that we can contact you if we have follow up questions about this report.

Report Type(s)

Please select the type of situation that you are reporting.

Time and Location

Date/Time of Incident

What was the approximate time that the situation occurred?

Location

Where did the situation occur?

Additional Location Information

If applicable, please provide any additional location details (for example: in the 3rd floor lobby).

Parties Involved

Student(s) Involved

Please list the names (and emails if possible) of the students involved in this situation.

Witness(es)

Please list names and contact information (if available) for all witnesses to this situation.

Descriptive Information

Description

Please provide as much information as possible about the situation.

Sensitive Details

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