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CARE Team & Campus Threat Assessment Reporting Form


Use this form to share information about your concerns about an individual exhibiting behaviors related to their personal, physical, and/or emotional well-being.* The appropriate office will review your submission to identify resources to provide intervention and timely referral to support services before more substantial problems arise. 

Reports will only be reviewed during business hours, Monday - Friday, 8:30 a.m. to 5 p.m. If this is an emergency that involves an imminent risk of harm to self, others, or property, please contact the Department of Public Safety at 708.534.4900 or dial 911 from any campus phone.

For assistance completing this form or phone consultation about a student, please contact the Office of the Dean of Students at 708.235.7595. If the concern is exclusively about an employee, please contact Human Resources at 708.534.4100. Note: Urgent/critical reports that involve a person threatening to harm themselves or others will be forward to the Campus Threat Assessment Team.

For more information about the CARE Team, please visit http://www.govst.edu/care/.

For more information regarding the Campus Threat Assessment Team, please visit http://www.govst.edu/ctat

*This form is an official communication with the University.

Reporter Information

 
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Enter the name of the department you are affiliated with on campus.
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If more than one date, please use today's date and provide additional details below.
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Involved Individuals

Please complete as many of the fields that you can provide. If you have listed your information as the person submitting the report above, you DO NOT need to include your information below.

Involved party 1

Share Information About Your Concern

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Based on the description you provided above, please check any behaviors below that have led you to be concerned about the individual involved:(Required)
You must make at least one selection.
Have you addressed the concern directly with the individual(s)?(Required)
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Is the person aware that a referral is being submitted on their behalf?(Required)
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Supporting Documentation

Please upload any supporting documentation (e.g., email correspondence, academic assignments, images, and the like). 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission