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CARE Referral Form


The CARE (Campus Assessment, Response, & Evaluation) Team acts as an assessment team whose duty is to review referrals and incidents involving concerning behavior by individuals within the campus community. The purpose of the CARE Team is to address concerns about a student from a non-student conduct perspective. Once the form is received, a CARE Team member will review the information and take appropriate action.

If you feel a concern does not need to be addressed at this point, but you would like to put it on the CARE Team's radar, please use the “General FYI” option under "Urgency of referral" below.

Please be advised that this referral resource is monitored from Monday through Thursday, 8 am to 5 pm.

If your concern is an emergency, please call 911 or Public Safety at 706-272-4461.

If someone is having a mental health emergency:

  • call or text 988
  • call Christie Campus Health at 833-855-0081 
  • proceed to your nearest hospital emergency room 

Background Information

Please understand that while CARE Team referrals can be submitted anonymously, it is difficult to follow-up without contact information for the reporter.

 
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Or you could type anonymous
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Faculty, Staff, Student, or Community Member
Email address must be of a valid format.
This field is required.
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If urgent, contact Public Safety at 706-272-4461 or 911
This field is required.
This field is required.

Involved Parties

Please list the individual(s) for which you are submitting your concern, including as many of the listed fields that are known. This information helps the CARE Team correctly identify the student of concern.

Involved party 1

Information Regarding Concern

I am concerned about the identified individual for the following reasons (check all that apply):(Required)
You must make at least one selection.
This field is required.
Have you discussed the concern with the individual?(Required)
This field is required.
This field is required.
Was Public Safety notified or required?(Required)
This field is required.
While we do our best to keep CARE referrals confidential, at times it is necessary to identify the referring party. If necessary may we share your name with the student?(Required)
This field is required.

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.

Submission