Cloyne Member Concern Form
Worried about a fellow housemate? Want to be there for someone, but not sure how? Think someone's going through some shit but you don't know what to do?

Use this form to alert the Health Worker, House President, Community Manger, and House Manager, of any members who you are worried about. Filling out this form doesn't mean any specific action will be taken or that the person will be contacted, but is a great way to let the manager team know about concerns. Obviously no disciplinary will come out of the form, it's just a way of looking out for people.
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Your Name
Your Email
Name of House Member Whom You Are Concerned About *
Cause of Concern *
They haven't been eating normally, they aren't sleeping enough, they seem disinterested in things, etc
Submit
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This form was created inside of Berkeley Student Cooperative.

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