Advocate System
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Online CARE Report
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CareNetwork Report
Reporter's Name
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Please provide your full name.
Reporter's Email
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Please provide your email address so that we can contact you if we have follow up questions about this report.
Reporter's Phone
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Please provide your phone number so that we can contact you if we have follow up questions about this report.
Type of Reporter
Which best describes your relationship to the university?
Type of Reporter
Community Member
Type of Reporter
Faculty Member
Type of Reporter
Staff Member
Type of Reporter
Student
Report Type(s)
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Please select the type of situation that you are reporting.
Public Report
Time and Location
Date/Time of Incident
What was the approximate time that the situation occurred?
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Location Information
Parties Involved
Student(s) Involved
Required
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Please list the names (and emails if possible) of the students involved in this situation.
Witness(es)
Please list names and contact information (if available) for all witnesses to this situation.
Descriptive Information
Nature of Concern
Please select the item below that best describes the concern you have.
Disruptive Behavior
Medical Concern
Notification Only
Physical Aggression
Potential Threat to Others/ Campus
Potential Threat to Self
Wellness Concern
Other
Description
Required
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Please provide as much information as possible about the situation.
Attach documents/Upload
Verification
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