Student Concern Forms
Submit a Concern
- 
                    
Safety & Misconduct
Use this form to report:
- Sexual assault or harassment
 - Stalking, dating violence, threats
 - Discrimination or identity-based harm
 
 - 
                    
Personal & Non-Academic Concerns
Use this form to report:
- Mental health struggles
 - Food, housing, or financial insecurity
 - Trauma or crisis situations
 
 - 
                    
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
 
- 
                                    
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.