Student Wellbeing - UCARE Referral

Thank you for making UCARE aware of your concern for an S&T student. UCARE referrals submitted through this service may not receive immediate response, particularly if referred outside of normal business hours, Monday - Friday 8:00 a.m. - 4:30 p.m.

UCARE IS NOT AN EMERGENCY REPORTING FORM; If you believe your concern requires IMMEDIATE ATTENTION or if THERE IS IMMEDIATE RISK, please contact 911 or University Police at (573) 341-4300.

Missouri S&T is committed to providing a safe and healthy campus environment for all members. We know that student life can be difficult and you may know a student, friend, or peer who needs help navigating their student experience, facing a challenge, or are experiencing distress and could benefit from support and connection to resources. You are not alone. We have a dedicated team and numerous resources and services to support you or your student, friend, or peer.

Sharing your concern with UCARE helps connect a student with solution-focused assistance that supports holistic student well-being, success, and degree progress.

Call S&T Campus Police- 573-341-4300 or 911
Go to the Emergency Room at Phelps Health at 1000 W. 10th Street; call 573-458-8899
Go to the Crisis Access Point at 1450 E. 10th Street
Call the 24/7 Compass Health Mental Health Crisis Hotline at 888-237-4567
Call the National Suicide Prevention Lifeline, Call, Text, or Video chat 988

Information About the Student You are Concerned About

Student Full Name

Student ID Number

Student Phone Number

Student Email Address

Student Residence Hall or Address

It is our goal to foster an inclusive and welcoming campus environment. Please feel free to provide the student's preferred name and/or pronouns.

Details

Please provide a detailed description of your concern. (Concerns, observations, and facts are more useful than characterizations or labels.)(Required)

If you selected 'Other', please describe.

Are there any other concerns or behaviors that may be helpful to provide context on aside from the ones listed above? (Required)

How long has this concern been going on? (Required)

Have you addressed your concern directly with the individual? (Required)

When was your last communication with the student? (Required)

Have you referred the student to any campus resources? (Required)

Student Well-Being
Dean of Students Office
Equity and Title IX
Student Health Services
Student Accessibility and Testing
Academic Advisor
University Police Department
None
Other

If you have referred the student to any other resources not listed, please specify them below.

Is the student aware that you have shared your concern with UCARE as a means to connect them with support? (Required)

Supporting Documentation

Please attach any additional supporting documentation here. Only one file can be attached at a time. 5GB maximum total size.

Attachments require time to upload, so please be patient after submitting this form.

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Your Information

First Name

Middle Name

Last Name

Phone Number

Email Address

Department

Date/Time of Concern

Location of Concern

Specific Location Information

What is your affiliation to the student you are concerned about?(Required)

Advisor
Colleague
Faculty
Friend
Student Employee
Family Member
Self-Referral

While we do our best to keep concerns confidential, at times it is helpful to identify the referring party as someone who is concerned and cares. If appropriate or necessary, may we share your name with the student?(Required)

Information About the Student You are Concerned About

Details

Supporting Documentation

Your Information

Sending Data