Student Conduct and Care

Please fill out the form below if you have a concern about a student. Do not use this form if there is an immediate safety concern. If this is an emergency call 911 or Campus Security at 250.740.6600 and/or consult with the Vancouver Island Crisis Line at 1-888-494-3888.

Please see the following website for more information and resources to support students in distress.

Your Contact information

First name *

Last name *

E-mail address *

Phone number

Other contact information

Student number (if you are a student)

Department name (if you are staff or faculty)

Student of Concern

First name *

Last name *

Student number (if known)

Program the student is in (if known)

E-mail address (if known)

Phone number (if known)

Other contact information (if known)

Brief Overview of Concern *

Please submit any supporting documents (optional)

Supporting file #1

Files must be less than 10 MB.
Allowed file types: gif jpg jpeg png pdf doc docx mov.

Supporting file #2

Files must be less than 10 MB.
Allowed file types: gif jpg jpeg png pdf doc docx mp3.

Supporting file #3

Files must be less than 10 MB.
Allowed file types: gif jpg jpeg png doc docx odt mov.

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