91ԭƬ

Care Team

Use this form to submit concerns about student’s health, well-being, and engagement. Concerns regarding a student’s mental health, illness or hospitalization, loss of a loved one, relationship concerns, housing instability or other basic need insecurities, academic engagement, and other non-academic barriers impacting a student’s overall well-being may be reported here.

Student Concern

Used by students to submit concerns. Concerns are categorized either as a concern about an instructor or class or concern about something else. Instructor/class concerns are routed to the VP of Academic Affairs office and other complaints are routed to the VP of Student Development. Students have the option of submitting their concern anonymously. This form is also found on the 91ԭƬ website under Student Services under the category Forms/Online Tools.

  Student Concern Form

Incident Report

Used by Faculty and Staff to submit issues involving academic integrity, behavioral concerns, violations to student code of conduct, illness/injury, and general student complaints. Depending on the content area it is routed to either the VP of Student Development or Behavioral Intervention Team. This form can also be found under the faculty and staff tab on the 91ԭƬ Website.

  Incident Report Form

ADA Grievance

Use this form to submit concerns about student’s health, well-being, and engagement. Concerns regarding a student’s mental health, illness or hospitalization, loss of a loved one, relationship concerns, housing instability or other basic need insecurities, academic engagement, and other non-academic barriers impacting a student’s overall well-being may be reported here.

Pregnancy & Related Condition

This form is for requesting information and support related to the rights of Pregnant Students at 91ԭƬ. This form can be completed by Students, Faculty, or Staff, and will be routed to the Vice President of Student Development or the Access Services office, based on the student’s identified needs.