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CARE Referral Form


Connection - Advocacy - Resources - Education

Before You Begin: This form is for NON-EMERGENCY reporting. If this is an emergency that involves an imminent risk of harm to self or others, please call 911.  The CARE Team does not respond directly to emergencies.

The CARE Referral Form is the college's formal process to inform the Dean of Students Office and the CARE Team of student behaviors that are concerning, worrisome, or threatening in the areas of personal, physical, psychological, emotional, and personal well-being.  Any Davidson College student, faculty, staff, parent/relative, or community member may submit a referral form.  Students may also submit this form on their own behalf if seeking support services, resources and referrals. 

Once your CARE Referral Form is submitted it is routed to the Dean of Students Office.  The CARE Team meets regularly, reviews the information you provide, takes the most appropriate action and makes the necessary referrals and interventions to support the student.  Every effort is made to meet with the referred student in a timely manner.  The reporter may receive a follow up email once contact has been made with the student.

*If your concerns are related specfically to dating violence, domestic violence, sexual or gender-based harassment, sexual misconduct, stalking and/or related retaliation, please contact Carley Dix, Title IX Coordinator and Section 504 Coordinator at cadix@davidson.edu.

Please contact the Dean of Students Office at (704) 894-2225 or deanofstudents@davidson.edu with additional questions. 

Reporter's Contact Information

 
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(Faculty, Staff, Student, Friend, Roommate, Parent/Relative, etc).
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If there are multiple dates of incidents/concerns please include in description box below.

Referred Student

Involved party 1

Share Your Concern/s

Share your concern/s (check those that are most current): *Faculty - if concerns are primarily about absences, missed assignments, failed reviews, please complete an ACADEMIC WARNING form.(Required)
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REPORTING SOURCE: Interventions are much more effective when the student understands the genesis of the report including the name of the person sharing the concern. However, anonymous reports are permitted. Students DO NOT receive copies of CARE Referrals.(Required)
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NON-URGENT MATTER: I understand that CARE Referrals are monitored and reviewed during normal business hours (M - F, 8:30am - 5:00pm) and are NOT monitored after hours, on weekends, or during official college holidays. Please call 911 if there is an immediate risk/danger of harm to self, others, or the campus community.(Required)
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Supporting Documentation

Please share any additional materials (emails, papers, social media posts, etc.) that will help us in addressing you concern(s). 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission