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CARE Form Impact


The CARE form should be used to report any behaviors of concern involving a Fairmont State University student, whether these behaviors occur inside or outside of the classroom setting. Please visit the Fairmont State University Crisis Policy regarding when to report a student in distress. Remember to always act with an abundance of caution and if you See Something, Say Something and Do Something.

Who should use this form?

Faculty, staff, students, family members or any person in the Fairmont State University Falcon Community who is concerned about a student. When the form is completed, someone from Student Health will reach out to the student, triage the situation, and follow up as appropriate. Be aware that anonymous reporting limits the effectiveness of dealing with concerning behavior. CARE Forms submitted after normal University business hours will be reviewed as soon as possible the next business day.

Reminder: Please call campus police
at 304-367-4357 or 911 if this is an EMERGENCY.

Person Making Referral
Person Being Referred
Tell Us Your Concerns
Nature of concern*
Have you addressed this concern with the student?*