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WeCARE Reporting Form


If you believe that the student or community is in immediate danger, or that the situation requires immediate action, call Campus Safety and Security at 315-498-2311.

Faculty, staff, students, and community members are encouraged to use this form to report distressing or concerning student behaviors. While referrals from this form are reviewed by a variety of WeCARE campus partners working to assist students, it is not designed as an emergency response notification process.

Reporter Information

While anonymous reports are accepted, you are strongly encouraged to provide your name and contact information in order to allow us to most effectively address the concerning behavior.


Regardless of whether or not reports are submitted anonymously, the WeCARE Team

cannot guarantee confidentiality.


While we do not share unnecessary information, there are times when an intervention will require information from this report be shared with the student. We can guarantee that all cases will be discretely handled with respect and sensitivity to the topics addressed.

 
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(i.e. faculty, staff, student, community member)
Email address must be of a valid format.
This field is required.

Involved Parties

Please list the individual of concern, and also list other related parties if applicable.

Involved party 1

Report Details

Please complete each section in an objective and factual manner, avoiding labels or stereotypes.

This field is required.
Please specify behaviors applicable to the student of concern; check ALL that apply.(Required)
You must make at least one selection.
Does the behavior seem to be getting worse or more frequent?(Required)
This field is required.
Does the student know that you are submitting this report?(Required)
This field is required.
WeCARE reports are acted upon by a small group of dedicated staff who work to support students in distress. So that they can effectively engage the student of concern, information from this report will be shared with the student. Do you understand that this report will remain private, but strict confidentiality can not be guaranteed?(Required)
This field is required.

Supporting Documentation (If Available)

Photos, video, email, and other supporting documents may be attached below. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission