Student Concern Forms
Submit a Concern
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Safety & Misconduct
Use this form to report:
- Sexual assault or harassment
- Stalking, dating violence, threats
- Discrimination or identity-based harm
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Personal & Non-Academic Concerns
Use this form to report:
- Mental health struggles
- Food, housing, or financial insecurity
- Trauma or crisis situations
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Academic Struggles
Use this form to report:
- Misses classes or assignments
- Has failing or low grades
- Isn’t engaging in D2L or coursework
Emergency ?
If there is an immediate risk to life, safety, or property, call 911 or SIU Police at 618-453-3771.
What Happens After You Submit a Concern?
- You'll receive confirmation that your form was received
- Trained SIU staff will follow up with the student
- If the student accepts help, we'll offer guidance and support, and connect them to appropriate services
- Student privacy is always respected. Some students may choose not to engage
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We’re here to help students succeed—but we need your eyes and ears.
When in doubt, speak up. One concern shared could be the first step toward a student’s turnaround.