Student of Concern Referral Form


The Students of Concern (SOC) program is operated through Student Affairs. Our mission is to serve as a campus resource team dedicated to assisting students who may be in distress or who may be experiencing challenging or difficult life circumstances. SOC works to coordinate and/or facilitate consultation and intervention when students exhibit aggressive, disruptive, or other concerning behaviors. The primary focus of the team is to take a proactive approach in identifying students who are struggling and provide early intervention, resources, and referrals both on and off campus. 

Anyone who is aware of such a student is encouraged to alert the SOC through the following form. Please note that although we strive for confidentiality to the extent reasonably possible consistent with our legal and ethical obligations, we cannot guarantee it in all circumstances. 

If you have questions, please contact the Student Affairs Office:
Carr House, 3rd Floor; 29 Waterman Street, Providence, RI
Phone: 401 454-6600
Hours: 8:30 am – 4:30 pm (evening hours by appointment)

If this is an emergency, or if you are looking to report a crime confidentially, do not use this form.
Contact Public Safety immediately at 401 454-6666. 

Referring Community Member Information

Please enter information about yourself below.

 Your name

Your email address

Student Information

Please enter as much information as you can about the student you believe is experiencing difficulty.

Student name*

Student college status

Student department or major

Student email address

Student phone (xxx-xxx-xxxx)

Student residence/local address

Specific description of concern*

Fields marked with * are required.



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