Share a Concern about a Student

Tell Us About You

We may need to contact the person reporting a concern to get more information so that we can follow up appropriately. Please provide the following information about yourself so that we can reach out to you if we need additional information.

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Your full name:

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Including your full name helps us get the information we need to respond appropriately.

Your position at Tufts:

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Are you a student, faculty/staff member, or other community member?

Your phone number:

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Please provide us with a phone number to follow up with you if needed.

Your email address:

Email address must be of a valid format.

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Please provide us with an email address to follow up with you if needed.

Location of any incident(Required):

This field is required.

Tell Us Who You Are Concerned About

Full name of the student you're concerned about

If known: student ID Number

If known: student phone number

If known: student email address

Description of the Concern

Please provide a description of your concern using specific, concise, objective language (e.g., "Who, what, when, where, why, how"). You may also indicate below that you would prefer to provide a description by phone (please remember to include a phone number above).(Required) This field is required.

If you have taken any action to address your concerns with the student directly, please describe your actions and how the student responded. This field is required.

Additional Information

If you have any additional information or documentation related to your concern, please attach it below. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Email me a copy of this report

Tell Us About You

Tell Us Who You Are Concerned About

Description of the Concern

Additional Information

Submission