Your referral can truly make a difference in another student’s life.
The purpose of this form is for you to identify fellow students who may be
in need of assistance or support. This may be someone who is having
academic or personal difficulties, or it may be someone who is engaging in
risky or destructive behavior.
This form will automatically be sent to staff members in the Office of
Student Development, who will work to address your concern by providing
appropriate intervention and services. In some cases this action will
be direct (we will contact the student), and in others it will be indirect.
Forms submitted are reviewed during business hours (Monday through Friday
8am to 5pm). If a situation is urgent, please contact campus Security
at 818.252.5208. In the event of an emergency, call 911.
Your submission is completely anonymous; this system does not track sender
information. We sincerely thank you for your concern.