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Student Advocacy Assistance Form


Student Advocacy Coordinator


The Student Advocacy Coordinator assists students, with the resolution of problems arising from or affecting their studies, to support retention and to foster respect across the campus community. The Student Advocacy Coordinator provides services to students to encourage them to learn how to problem solve and operate effectively within the University environment. This process often involves personal/life skills coaching. In general, students utilize the Student Advocacy Coordinator as a resource person to discuss their legitimate concerns about customer service, communication disconnects, or the inability to access student services in a timely manner.

If you need to report an emergency or immediate threat, please contact University Police at (919) 530-6106.

Is this the correct form to complete or is the Incident Reporting Form or the Behavioral Intervention Team (BIT) Reporting Form more appropriate? See below for additional descriptions.


Incident Reporting Form: - If you meant to report behaviors violating the Student Code of Conduct, whether these behaviors occur inside or outside the classroom setting, please complete the Incident Reporting Form by clicking on Report a Student Code of Conduct Violation.

Behavioral Intervention Team (BIT) Reporting Form:If you meant to a report student who may be exhibiting concerning behavior which could include, self-injurious behavior, suicidal ideation or attempt, distressing, disruptive and /or disturbing behavior, inside or outside of the classroom setting, please complete the Behavioral Intervention Team Reporting form by clicking on BIT Report Form.

 
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My Information

It is very important that you input all of the requested information into each section. Your name, cell phone number, NCCU email address, student identification number, and residence hall (if applicable) should be entered into their respective sections before you submit this form. You should also provide a thorough explanation of what assistance you need.

Involved party 1

Student Advocacy Assistance Information

Please select all applicable areas with which you are seeking advocacy.(Required)
You must make at least one selection.
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