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Caring Community Connections提交 Form


 


重要提示:

If you are dealing with an emergency situation, please call the 新大警务处 first, at 214-768-3333, 或者拨打911.


For all other concerns and issues regarding yourself or other SMU student, please provide detailed information in the form below.

PLEASE READ THIS BEFORE PROCEEDING:

Based on the "Level of Response" selected and the information provided, staff will make contact to address the concern.

  • 在选择 “响应请求” our office will initiate outreach to offer support as may be needed and/or make a referral to other campus resources.
  • If "Informational Report Only" 被选中, we will retain the submission for possible future reference, but NO outreach will be initiated. We may also get in touch with you, the submitter, to clarify the nature and intent of the submission.

Once the form is submitted, all information will be stored in a password protected database. Access to this confidential information is limited to the Caring Community Connections response team.

提交者信息

Email address must be of a valid format.
这个字段是必需的。.
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Routine - Student Outreach Initiated
Info Only - No Student Contact
这个字段是必需的。.
这个字段是必需的。.

学生的细节

Enter information below about the student(s) involved - name, gender and SMU ID are most helpful.

参与方1

事件详细信息

这个字段是必需的。.
这个字段是必需的。.
Has the 新大警务处 been contacted regarding this incident?(必需)
这个字段是必需的。.
Have you spoken with or attempted to speak with the student(s) about your concern?(必需)
这个字段是必需的。.
Academic Issues - Select all that apply.
You must make at least one selection.
Concerning Behavior - Select all that apply.
You must make at least one selection.
Medical Issues - Select all that apply.
You must make at least one selection.
Medical Withdrawal - Select all that apply.
You must make at least one selection.
其他 - Select all that apply.
You must make at least one selection.
这个字段是必需的。.
How did you hear about the CCC Program?
You must make at least one selection.

支持文档

Photos, video, email, and other supporting documents may be attached below. 最大总大小为5GB.
Attachments require time to upload, so please be patient after submitting this form.

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