CCI Report Form
This form should be used by Minerva faculty and staff to share situations that may need a coordinated effort from the Community Care Initiative (CCI) team. After we review the submission (generally within 24hr, but often much faster), it is standard practice for us to reach out to you, while we also consider other things the team can do to help. 

This form is NOT appropriate for urgent or emergency level situations. In those cases, please explore other options such contacting staff members directly or calling someone for more rapid assistance. You can find a listing of some of those resources here

Please know that your responses are being sent to our email, but all communication methods and submissions will have privacy risks to consider. If you'd like additional security and privacy protections, send us an email with the answers to the questions below, directly to wmeek@minerva.edu instead.

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Your Name *
Your Email *
Student's Name *
Student's Email
What city is the student studying in? *
Describe the situation you want to share in as much detail as you find appropriate. *
Submit
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