Student Concern Forms
Report a Concern / Make a Referral
Not sure which form to use? Just pick one.
We’ll route it to the appropriate support team.
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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
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 committed to supporting students, but we can only act when concerns are shared. When in doubt, speak up! Your outreach may be the connection a student needs to regain momentum.