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Caring Community Connections
Submission Form


 

IMPORTANT NOTE:

If you are dealing with an emergency situation, please call the SMU Police Department first, at 214-768-3333, or dial 911.

For all other concerns and issues regarding yourself or other SMU student, please provide detailed information in the form below.

PLEASE READ THIS BEFORE PROCEEDING:

Based on the "Level of Response" selected and the information provided, staff will make contact to address the concern.

  • When selecting "Response Requested" our office will initiate outreach to offer support as may be needed and/or make a referral to other campus resources.
  • If "Informational Report Only" is selected, we will retain the submission for possible future reference, but NO outreach will be initiated. We may also get in touch with you, the submitter, to clarify the nature and intent of the submission.
  • SPECIAL NOTE: Spring 2024 - Responses and outreach to students during this time of year may need to be adjusted with the transition to Final Exams and the end of the term. We appreciate and are thankful for all submissions, but also want to be sensitive to potential timing issues as the semester comes to a close.

Once the form is submitted, all information will be stored in a password protected database. Access to this confidential information is limited to the Caring Community Connections response team.

Submitter Information

 
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Routine - Student Outreach Initiated
Info Only - No Student Contact
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Student Details

Enter information below about the student(s) involved - name, gender and SMU ID are most helpful.

Involved party 1

Incident Details

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Has the SMU Police Department been contacted regarding this incident?(Required)
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Have you spoken with or attempted to speak with the student(s) about your concern?(Required)
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Academic Issues - Select all that apply.
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Concerning Behavior - Select all that apply.
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Medical Issues - Select all that apply.
You must make at least one selection.
Medical Withdrawal - Select all that apply.
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Other - Select all that apply.
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How did you hear about the CCC Program?
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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