If you need to report an emergency, please contact the Department of Public Safety at 518-783-2999, or dial 911.

 

WHAT HAPPENS AFTER A REFERRAL IS MADE:

Once this form is received, a staff member from Student Concerns Team (SCT) will review the information within 1 business day (Reports filed on Friday, Saturday, Sunday, or College holidays will be reviewed on the next business day). After initial review, action steps may or may not include contacting the student directly, following up with you as the referral source, reaching out to impacted parties, or reviewing the incident or concern with other College officials as appropriate (Dean of Students, Threat Assessment, etc.).



CONFIDENTIALITY:

We cannot guarantee anonymity; however, SCT will take reasonable steps to maintain the privacy of those who complete a referral, if requested. If the circumstances do not allow privacy to be maintained, this will be discussed with the person making the referral prior to disclosure to the student, when possible. In some circumstances, due to the nature of the reported concern, the identity of the reporter may be evident to the student of concern.

Please also note that SCT is a mandated reporter for Title IX and Title VII concerns and is not a confidential resource. Please refer to the Title IX website for more information related to Title IX and Title VII reporting. SCT will protect the privacy of student information reported via this form consistent with the Family Educational Rights and Privacy Act (FERPA).

 

* = required field

Background Information

Concern Details

Student Information

Please list the individual for who you are submitting your concern, including as many of the listed fields as you can provide.

Information Regarding Concern

Please provide as much information as possible.

Supporting Documentation

Photos, video, email, and other supporting documents may be attached below.