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Concerning Behavior Report

Thank you for sharing your concerns for a student or employee at Oakland University. By sharing your concerns, you are helping to maintain Oakland University as a healthy and safe campus environment.

BEFORE YOU BEGIN: If this is an emergency that involves an imminent risk of harm to self or others, please contact campus police at 248.370.3331 or by dialing 911 prior to filling out this referral form. 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.

Tell Us About You:

If you wish to make an anonymous report of concerning or worrisome behavior, the Dean of Students office will evaluate the report and determine what follow up (if any) is necessary to address the concerns. Please consider providing your name and contact information to allow us to call or email if we have additional questions regarding your report.

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Your full name:

Your position/title:

Your phone number:

Your email address:

Nature of this report(Required):

This field is required.

Date of incident(Required):

This field is required.

Time of incident:

Location of incident(Required):

This field is required.

Specific location:

Tell Us Who You Are Concerned About:

Please list the individuals involved, including as many of the listed fields as you can provide. For individuals who are not affiliated with Oakland University, please provide a Drivers License number in the block labeled SID if available. If you have listed your information as the person submitting the report, you DO NOT need to include your information below.

Person's Full Name

Select Gender

Select Role

GrizzID Number

Phone number

Email address

Hall/Address

Tell Us About Your Concern:

Describe the behaviors that have prompted you to share your concerns. Please use as much detail as possible, including dates for any specific concerns. If the concern involves threats or comments related to self-harm or harm to others, please include exact quotes and how these comments were communicated.(Required) This field is required.

Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. 1GB maximum total size. Attachments require time to upload, so please be patient after submitting this form. 1GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

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