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Pitt Bradford CARE Referral


Thank you for sharing your concerns for a student at Pitt-Bradford.
By sharing your concerns, you are helping to maintain UPB as a healthy and safe campus environment.

Before you begin: If this is an emergency that involves an imminent risk of harm to self or others,
please contact Campus Police at 814.368.3211 or by dialing 911 prior to filling out this form.

Reports are reviewed during normal business hours and are not monitored after hours, on weekends, or during official University holidays.
While referrals from this form are reviewed by a variety of campus partners working to assist students, it is NOT designed for emergency response situations.

Your Information

 
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Involved Parties

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Questions

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Concerns for this student. Check any/all that apply.(Required)
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Have you talked to this student about your concern(s)?(Required)
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Do you wish to remain anonymous when this student is contacted?(Required)
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Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. Maximum 12 megabytes per file. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

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