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CARE Report Form



Does the person you are creating a report for pose a threat of harm to self or others? If yes, please call Clemson University Police Department immediately at (864) 656-2222. If no, please proceed with the report below.

This form is for reporting a concern about a current Clemson University student. CARE reports should only include objective, observable, and factual information. We ask that you avoid labels, stereotypes, and reporting based on hearsay or mere assumptions. A staff member will review the information within one (1) business day and take appropriate action, which may or may not include contacting the student, you, and any witnesses identified. If you have questions about a report you filed, please call us. CARE reports are not reviewed outside of business hours or on university holidays.

All CARE reports are routed to the Office of Advocacy and Success.

Reporter Information

Fields with a red asterisk are REQUIRED. All other fields are optional. In order to better assist our needs, we request that you provide us with your contact information so that we may follow up with you as needed.

 
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When did the concern come to your attention?
This field is required.

Involved Parties

Please list the individuals involved (excluding yourself), including as many of the listed fields as you can provide. Fields may be left blank if information is not known at the time of the report.

Involved party 1

Description/Narrative

This field is required.
Does the behavior seem to be getting worse or more frequent?(Required)
This field is required.
Have you or others discussed your concerns with the student of concern?(Required)
This field is required.
Does the student of concern have a trusting relationship with at least one person (e.g. friend, parent, instructor, advisor, coach, staff)?(Required)
This field is required.
This field is required.
Are you submitting this report to connect to interpersonal violence response services?
This field is required.
Does the person display concerning behaviors that you feel could pose a potential threat of harm to self or others that need to be evaluated by the Clemson University Threat Assessment Team?(Required)
This field is required.
If you selected yes to the question above, please acknowledge you are aware of the following: If an emergent or immediate threat is believed to exist, please call the Clemson University Police Department IMMEDIATELY at (864)656-2222. Form submissions are not monitored outside of standard business hours, weekends, or holidays. Form submissions will generally be reviewed within one business day of submission (to exclude after hours, weekends, and holidays). Immediate concerns should be addressed by law enforcement as soon as possible by direct reporting to CUPD.
You must make at least one selection.

Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Select copy recipients

This report is routed to the Office of Advocacy and Success. If other departments or individuals should receive a copy of this report, please select them below:
This report is routed to the Office of Advocacy and Success. If other departments or individuals should receive a copy of this report, please select them below:

Submission