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Students of Concern Reporting Form


Purpose of Students of Concern:
The purpose of the Students of Concern Team is to provide support for students who have been identified by the Springfield College community as a risk to themselves, the community, and/or at risk for academic failure.
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The SOC Team:
The Students of Concern team (SOC) is comprised of student affairs professionals, academic advising, public safety, and the academic success center. Their charge is to provide communication between different campus departments regarding students of concern, provide a centralized repository for information about student behavioral concerns, provide students with support, resources and case management, and to educate the community on recognizing behaviors of concern.
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Who should use this form:
This form is for the use of current students, faculty, or staff from Springfield College. Please provide detailed information regarding the concern you are reporting. Once the form is received, a member of the SOC Team will review the information and take appropriate action, which may or may not include contacting the student, you, and any others you have identified. If you have any questions related to completing a SOC report, please call (413) 748-3922.
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IF THERE IS IMMEDIATE RISK TO LIFE OR PROPERTY
Call 413-748-5555 to alert Public Safety
(x5555 if calling from a campus phone)

Background Information

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

Involved Student Information

Involved party 1

Information Regarding Concern

I am concerned about the following behaviors (check all that apply):(Required)
You must make at least one selection.
Are you aware of any related services the individual is currently receiving?(Required)
This field is required.
This field is required.
Is the student aware that a Student of Concern report is being created on their behalf?
This field is required.
This field is required.
This field is required.
Was Public Safety notified?(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