Student Affairs Referral Form

Student Affairs Referral Form

This electronic form is for referral purposes. If this is an emergency, please call 911.
The Office of Student Affairs is unable to accept anonymous referrals. To the extent possible, Student Affairs will maintain confidentiality regarding the reporter. However, we may need to contact you for further information. Depending on the nature of the referral, we may not be able to provide you with feedback regarding your referral. We appreciate your cooperation and understanding. Thank you for completing the information below in full.

Please contact the Office of Student Affairs by E-Mail or 304-384-6035 or 304-384-5231 if you prefer to discuss the situation, rather than complete the form.