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BEFORE YOU BEGIN: If this is an emergency that involves an imminent risk of harm to self or others, please contact campus police at 317-274-7911 or by dialing 911 prior to filling out this referral form. This referral form is designed to report behavior the referring party sees as concerning, worrisome or threatening. Please note that referrals are reviewed during normal business hours and are not monitored after-hours, on weekends, or during official University holidays. While referrals from this form are reviewed by a variety of campus partners working to assist students and employees, it is NOT designed for emergency response situations. If the information in the referral is determined to be emergency-related, law enforcement may become involved to check on the immediate well-being of our student. For assistance or consultation during business hours while completing this referral, please contact the Office of the Dean of Students at 317-274-4431.
* Indicates required field.
By identifying yourself, we will be able to more fully investigate and respond to your concerns. Without your identifying information, we may not have enough information to address the situation you have described. Anonymous reports will be pursued, but the ability of the BCT to respond may be limited. Thank you for your referral.
If you want to attach files, please indicate this by checking the box. After submitting this form, you will have the opportunity to attach files if this box is checked.
Concerned Persons Referral Form
Or Call:
(317) 274-4431
Ask for Coordinating Member of BCT
