Student of Concern and Early Alert Form

The Student of Concern program was developed in the summer of 2010 to assist students who may be having difficulty adjusting to the Friends University community or who may need additional support to be successful in the University environment. Click here to read more about the program.

* Required fields.

Student of Concern's Information
Your Information
Incident Information
Information about behavior/threat.

Information about behavior/threat.

Self-harming/substance abuse.

Information about self-harming/substance abuse behaviors.

General concerns/additional comments.
Date, Time and Location of Incident (if applicable)
Contact Information
Lindsey Moss, Student Affairs Counselor,, 316-295-5675.