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CARE Reporting Form


IF THERE IS IMMEDIATE RISK TO LIFE OR PROPERTY
Call 911

(8-8400, if calling from a campus phone)

Campus Assessment & Response Team (CARE) is part of Fresno State’s Behavioral Intervention Team focusing on students with significant personal struggles, in distress, or students of concern that may benefit from additional support or resources. The mission of CARE is to provide a collaborative approach for coordinating a supportive response to students who may be at-risk or in distress.

Faculty, staff, family members or students can refer a student to the CARE Team. Once the form is received, a member of the CARE team will review the information and take appropriate action, which may or may not include contacting the student, you, and/or any others you have identified. 

Please note, this CARE Reporting Form is NOT an emergency response system. Submissions are reviewed during normal business hours (generally Mon-Fri 8am-5pm). If you need immediate assistance and/or there is an imminent risk of harm – please contact Fresno State Police Department at 559.278.8400 or dial 911.

Student concerns submitted here will be reviewed by a member or members of our team to determine appropriate referral or other response. This reporting form is not meant to replace individual interventions by faculty and staff. Reports reviewed by The CARE Team will be handled with professional discretion and kept as confidential as possible by all members. Information may be shared on a strictly “need to know” basis in order to refer students to the correct resources and respond appropriately.

Background Information

 
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Email address must be of a valid format.
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(Date of most recent incident, or today's date)
This field is required.
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(i.e., Room Number, Office address)

Person(s) being referred:

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

Involved party 1

Information Regarding Concern

This field is required.
I am concerned about the following behaviors (Check all that apply):(Required)
You must make at least one selection.
This field is required.
Have you addressed the concern directly with the individual?(Required)
This field is required.
Were the police involved?(Required)
This field is required.
Is the student aware that a CARE Team referral is being submitted on their behalf?(Required)
This field is 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