Report a Concern

Do not use this form to report a student who is in immediate crisis or danger. Please contact University of Colorado Police Department for assistance at 303-492-6666, or call 911, if you believe your safety or the safety of the student may be at risk.

This form may be used to identify a student who is struggling with academic, personal, emotional, or mental health problems. This form is reviewed by the Dean of Students and the Student of Concern Team Case Manager. Once a student of concern has been identified, a representative from the Division of Student Affairs will reach out to the student and offer support. Please note, while anonymous reporting is an option, it may greatly limit our ability to reach out and respond to your concerns, including providing adequate assistance to the parties involved.

If you have questions about how to use this form and what information to report, please contact the Division of Student Affairs at 303-492-8476 for assistance.

Please note: Fields followed by an asterisk are required.

Reporting Party Contact Information
Student of Concern
Follow Up

Background Information *
Please share any background information you may have about this student including any prior incidents of concern, distressing life events, or other information that would help the SOC team better understand this student.

Current Incident or Behaviors of Concern *
Please describe, in detail, the specific conversation, behavior, or incident that is of concern to you. 

Please Note: Supervisors may not use this form to satisfy their obligation to report allegations of sexual harassment or protected class discrimination or harassment.  Pursuant to the University’s Sexual Harassment Policy and Procedures and the campus Discrimination and Harassment Policy and Procedures, supervisors are required to report such allegations directly to the appropriate Discrimination and Harassment Officer, either the Director of the Office of Student Conduct or the Director of the Office of Discrimination or Harassment. You may review your reporting requirements at: http://hr.colorado.edu/dh/Pages/default.aspx

Please visit the Student of Concern Team for additional resources and support when working with students of concern.

Office of the Vice Chancellor for Student Affairs
Center For Community S430
031 UCB
Boulder, CO, 80309-0031
Phone: (303) 492-8476
E-mail: studentaffairs@colorado.edu
University of Colorado Boulder
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