Southern University - Baton Rouge Campus
Student/Faculty/Staff Concern Referral Form
If you are concerned about a student, faculty/staffand problems persists despite your efforts to intervene, please complete the form below. A member of the Community and Consultation Response Team (CCRT) will follow-up with you regarding your concern. This form is to be used for the transmission of non-emergency information and is not seen as a substitute for continual conversation, nor will it become a record with the Office of Student Conduct, or Human Resources (HR). You will be notified of the disposition if/when appropriate. Information shared with the committee falls under the purview of the University Counseling Center (UCC).
This committee does not function after hours or during university breaks. In the event of an emergency, contact the SU Police Department at 225-771-2770. NO ANONYMOUS FORMS ACCEPTED.
Thank you in advance for your care and assistance.