Report a Concern
This form is not intended to be used for students who are in immediate crisis and at risk to themselves or other individuals. Please call 911 if you believe that any student's safety is at risk. This form is also not to be used in place of mandated reporting procedures.

This form helps William Jessup University identify students who may be struggling spiritually, academically, or emotionally or who are exhibiting any concerning behavior that may differ from the their normal conduct. Once submitted, this form will be viewed by the Student Care Team, and a member of the care team will reach out to offer any available support.

We may update you or follow up with questions, but due to privacy laws, we cannot guarantee a response or update on a student situation.

Please keep in mind that anonymous reporting is available on this form; however it may limit our availability to reach out in certain situations.

Your Information
This is optional, but helpful
Your Name (first last)
Your answer
Phone number
Your answer
E-mail address
Your answer
Relationship to student
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of William Jessup University. Report Abuse - Terms of Service