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CARE Team Referral


If you are concerned for a student's immediate safety, please call Public Safety at 909-748-8888 or 911.

If this is not immediate but still concerning. Please fill out the form below with as much detail as possible. A member of the CARE Team will be in contact with you to follow up on this report.

These reports are reviewed during normal business hours, Monday to Friday 8:00am to 5:00pm.

We recognize this report might be filled out due to a general concern for a student's well-being instead of in response to a prompting event. In that case for incident date and location, please use the date and location of last contact with the student. 

This referral form may be submitted anonymously. However, if you do not share your identity or contact information on your report, please know the CARE Team's ability to take action on anonymous reports may be limited. It’s highly encouraged for reporting parties to identify themselves allowing the best support possible to be provided.

Reporter Writer's Information

 
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Student Information- Be sure to include student's full First and Last name

Involved party 1

Questions

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Which of the following issues are you concerned about:(Required)
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Does the CARE Team have permission to identify you as the source of concern to the student?(Required)
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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