Online Student-at-Risk Referral

Please note that this is not an emergency service. If you or someone you know is in crisis and requires immediate attention, call Campus Security at 905-688-5550 x3200 or 911.

Please complete the following form in order to initiate a referral to the student-at-risk team. This referral will be viewed in a timely manner and you may be contacted to provide additional information. Thank you for letting us know that you are concerned about a student.

Student-at-Risk Referral form

  • Your name
    This is preferred, but not mandatory. Please note that we make best efforts to ensure confidentiality.
  • Your email
    This is preferred, but not mandatory.
  • Does the student know you are submitting this referral? * Required
  • E.g., emailed/talked with student regarding my concern, contacted other campus offices, spoke with other university officials, etc.
  • This field is for validation purposes and should be left unchanged.