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Concerning Behavior (C.A.R.E. Team)


BEFORE YOU BEGIN
If this is an emergency that involves an imminent risk of harm to self or others, please contact campus police at 252-335-3266 or by dialing 911 prior to filling out this referral form.

 

Elizabeth City State University seeks to foster a climate of safety that requires the involvement of all University community members. To facilitate this process, this report has been provided to encourage faculty, staff, students, and other community members to report observed behavior that warrants concern for the safety of the community and/or the safety of an individual. These reports are reviewed by the University's Campus Assessment, Response, and Evaluation (C.A.R.E.) to make the most informed decisions about how best to intervene and support the student of concern.

The C.A.R.E. team accepts referrals and responds to students (and their families, faculty, and staff) when concerns for a student's health, welfare, and safety are identified. Please use this form to report student behavior that is concerning, erratic or otherwise disruptive.

For assistance or consultation while completing this referral, please contact the Office of the Dean of Students (252-335-3276) or care@ecsu.edu

Privacy Note:
Reports submitted through this platform are considered student records protected under the federal privacy law (Family Education Rights and Privacy Act) and therefore becomes confidential information unless otherwise specified by the named student(s).


If you wish to report a SEXUAL MISCONDUCT OR RELATIONSHIP VIOLENCE incident please use the following link:
REPORT A SEXUAL MISCONDUCT OR RELATIONSHIP VIOLENCE INCIDENT HERE

If you wish to report a CRIME not related to sexual misconduct please use the following link:
REPORT A CRIME HERE

If you wish to report a STUDENT CONDUCT VIOLATION not related to sexual misconduct please use the following link:
REPORT A STUDENT CONDUCT VIOLATION HERE

Reporting Party Information

While anonymous reports are accepted, you are STRONGLY encouraged to provide your name and contact information in order to allow us to most effectively address the concerning behavior.

 
Email address must be of a valid format.
This field is required.
This field is required.
This field is required.

Person of Concern

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

NOTE THAT INVOLVED PARTIES INCLUDE

 

  • PERSON OF CONCERN = person who is exhibiting concerning behavior

 

  • VICTIM = person who may have been negatively impacted by the concerning behavior

 

  • WITNESS = individual, excluding yourself, who observed the alleged behavior and can provide information

 

  • UNKNOWN
Involved party 1

Additional Information

Please describe the behaviors that have prompted you to share your concerns.
Use as much detail as possible, including dates for any specific concerns. Complete each section in an objective and factual manner avoiding labels or stereotypes.

If the concern involves threats or comments related to self-harm or harm to others, please include exact quotes and how these comments were communicated.

This field is required.
Specify behaviors applicable to the student of concern (Check ALL that apply).(Required)
You must make at least one selection.
Indicate if any of the following actions were taken:
You must make at least one selection.

Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. 1GB maximum total size. Attachments require time to upload, so please be patient after submitting this form. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission