Faculty/Staff Referral Form

We are asking you to help identify students about whom you have a concern. When problems persist in spite of your involvement, submit this form. The information will be sent to Lee Williams, Dean of Students. She and other professionals will work to resolve the student's problem. This form is not seen as a substitute for continual conversation, nor will it become a record for the judicial system.

You will be promptly notified of receipt of this form and notified of the disposition if appropriate.