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Division of Student Affairs

Home » CARE Team » Student of Concern Form

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Student of Concern Form

If your immediate safety is at risk, if you are witnessing violence, or if you perceive imminent harm to yourself or others, please immediately dial 911 or call Campus Public Safety at 503-838-9000

STUDENT OF CONCERN

Use this form for reporting any situation where you are concerned about a student relative to their mental state or well being; disruptive or inappropriate behaviors in the classroom or on campus; or any time you believe student poses a threat to themselves or others.


If you are concerned about a WOU student, please tell us! The Office of the Vice President for Student Affairs can reach out to WOU students who seem to be having difficulty and intervene before things reach a crisis level.

If this is an on-campus emergency that requires immediate action, please contact the Monmouth Police at 911 or Campus Public Safety at 503-838-9000.

Use this form to report concerns about any of the following:

  • A student’s mental state or well being
  • Disruptive or inappropriate behaviors in the classroom or on campus
  • A student who you believe poses a threat to themselves or others

Concerned members of the WOU community can call the Office of the Vice President for Student Affairs at 503-838-8221, or use the following form to relay information. Please be as specific as you can, including additional identifying information (such as room number, phone number, etc.) and any relevant details that could help us help this student. Once we receive your report, we will assess the information and determine the best way to work with the student.

Student of Concern Form

  • Student contact information

  • Enter your concern here:
  • Your contact information

We ask for your contact information in case we have questions or need more details; it will not be disclosed to anyone who does not have a need to know.

  • CARE Team
  • Student of Concern Form

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WESTERN OREGON UNIVERSITY
345 Monmouth Ave. N.
Monmouth OR 97361

503-838-8000 | 1-877-877-1593

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Western Oregon University’s Land Acknowledgement
Western Oregon University in Monmouth, OR is located within the traditional homelands of the Luckiamute Band of Kalapuya. Following the Willamette Valley Treaty of 1855 (Kalapuya etc. Treaty), Kalapuya people were forcibly removed to reservations in Western Oregon. Today, living descendants of these people are a part of the Confederated Tribes of Grand Ronde Community of Oregon and the Confederated Tribes of the Siletz Indians.

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