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Student Outreach & Support (SOS)
Referral Form


IF THERE IS IMMEDIATE RISK TO LIFE OR PROPERTY
Call 911 and then call Campus Safety at 303-871-3000.
If calling from a campus phone, dial 1-3000 for Campus Safety.

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If you are unsure if this is the correct office to refer or report to, please review this Referral Flow Chart 

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The Student Outreach & Support Staff reviews referrals on a daily basis, Monday-Friday. Our staff outreaches students within 24-48 business hours to learn how we may be able to support them. 
If you have questions or concerns please contact Student Outreach and Support at sos@du.edu. 

 

Background Information

 
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Involved Student Information

List the person or people you are submitting your concerns for. Provide information for as many of the fields as you can.

Involved party 1

Concerns and/or Observed Behavior

Please provide information below to the best of your knowledge.

If you are unsure of the nature of the concern, use the Support Indicators Resource Guide to learn more. The guide has detailed descriptions of signs that a student may be in need of support.

General Nature of Concern (check all that apply).(Required)
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Share what other offices have you notified of this concern besides SOS. Please also note what resources you have offered, if any:(Required)
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Is the student aware a SOS Referral is being submitted on their behalf?(Required)
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Do you wish to remain anonymous if/when we contact the student? **If you wish to remain anonymous, we will make every effort to maintain anonymity. We cannot guarantee you will stay anonymous. SOS referrals fall under Family Educational Rights and Privacy Act (FERPA) privacy regulations. This means students have the right to access to these records. You may receive outreach to provide more information to help us best support 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