CARE Team Referral

The CARE Team of Tidewater Community College is focused on caring, prevention, and early intervention for students experiencing serious distress or engaging in harmful or disruptive behaviors. Submitting a CARE Team Request ensures that students will quickly and confidentially get the help they need to persist in achieving their academic and career goals. Although the intention of the CARE Team is to be non-disciplinary, reports of students violating college policy may be referred to Student Conduct or Public Safety.

Reporter Information
Name
First Last
Relationship to Student
Phone
Email
How would you like the CARE Team to follow up with you?
- Phone
- Email
- No follow up required
Student Information
Student Name
First Last
Student Phone
Student Email
Student ID Number
Is the individual aware that you notified the CARE Team or informed other need-to-know staff on campus?*
- Yes
- No
Incident Information
Campus
Date of Incident
MM slash DD slash YYYY
Describe the nature of the concern
Please outline your reason(s) to be concerned, focusing on behaviors you directly observed and/or information gleaned from your interactions.
Photos, video, email, and other supporting documents may be attached below.
Drop files here or

Max. file size: 20 MB.

CARE Team Referral

Reporter Information

Student Information

Incident Information