Online CARE Report

Student Info

Student(s) of Concern

Please list the student(s) involved to allow for follow up from the CARE Team.

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Other Individual(s) Involved

CARE Report

Report Type(s)

Academic Deficiency

Examples: Not completed sufficient course work and/or Has not been showing up to class and/or Tutoring/academic support need

Code of Conduct Violation

Examples: Disrupting the class in a way beyond my control and/or Making a threat(s) against others safety and/or There is violence/threat of harm

Disability/Accommodation

Examples: May need an accommodation - academic, medical and/or mental health issue

Financial Concern

Examples: Owes a balance due greater than $1,000 and/or Expressed concern regarding finances/ability to afford bills/education

Medical Issue

Examples: Medical issue and/or Substance abuse concern

Mental Health

Examples: Struggling with a mental health issue and/or Experienced a personal trauma and/or There is violence/threat of harm and/or Substance abuse concern

Personal/Family Issue

Examples: Experienced a personal trauma and/or Experienced a significant life change

Social/Adjustment Issue

Examples: Expressed homesickness and/or Expressed roommate or friend conflict(s)

Thinking of Transferring

Examples: Expressed interest in transferring and/or Has begun/ completed transfer process

Course Number

For Academic Deficiency Alerts ONLY

Course Section

For Academic Deficiency Alerts ONLY

Course Title

For Academic Deficiency Alerts ONLY

Reason(s) for Deficiency

For Academic Deficiency Alerts ONLY

Date/Time of Incident

Location

Additional Location Information

Description

Attach documents/Upload

Online CARE Report

General Info

Student Info

CARE Report