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Report Concerning, Worrisome, or Threatening Student Behaviors


If this is an emergency that involves an imminent risk of harm to self or others, please contact University Police at (203)392-5375 or by dialing 911.

Referrals are reviewed during normal business hours, 8:30am-4:30pm, Monday-Friday, and are not monitored after hours, on weekends, or during official University holidays. While referrals from this form are reviewed by a variety of campus partners working to assist students, it is NOT designed for emergency response situations.

Reporter Background Information

 
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If you are not affiliated with Southern, please provide a personal email address

Student of Concern

If you are reporting multiple students of concern, please submit a separate report for each individual student.

If you are adding a student who is a witness to the concerning behavior of the student your are reporting, please select "add student" below and choose "witness" from the dropdown menu.

Involved party 1

Tell Us About You Concern

This field is required.
Did you connect the student with any of the following resources (Check all that apply):
You must make at least one selection.
Please indicate concern (Check all that apply)
You must make at least one selection.

Supporting Documentation

Please attach any files that you believe are relevant to your concern. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission