Submit A Referral or Report

As part of our caring community, we all play an important role in looking out for one another and ensuring the well-being of our students. Bucknell has many resources available to support all members of our community. If you're concerned about a student — or if you, a student, need support — please don't hesitate to share your concerns with us. Students, faculty, staff, family and community members can use the forms below to request outreach and support for students, as well as to submit reports of concerning behavior and violations of the Code of Conduct; the Equal Opportunity, Harassment and Nondiscrimination Policy; Employee Handbook Policies or academic integrity.

Student Support

Refer to CARE Team

Can be submitted by: Students, Faculty, Staff, Community Members

Used for: Referring students when there is a concern for harm to self or others. Contact the CARE Team at 570-577-3319 with any questions.

Refer to the CARE Team

Refer to the Counseling & Student Development Center

Student Outreach and Support

Can be submitted by: Students, Faculty, Staff, Community Members

Used for: Referring a student who is dealing with a challenge or concern and may benefit from connection to campus resources and support.

Report to the Office of the Dean of Students for Outreach and Support

Request for Pregnancy and Related Conditions Accommodations

Can be submitted by: Students

Used for: Students requesting reasonable accommodations for Pregnancy and Related Conditions.

Request for Pregnancy/Parenting Accommodations

Academic Concerns & Accommodations

Student Academic Alerts

Can be submitted by: Faculty, Staff

Used for: Referring students to the academic associate dean of their college when there is an academic concern, i.e., attendance issues, lack of participation in class.

Submit Academic Alert

Reporting Suspected Academic Misconduct

Can be submitted by: Faculty

Used for: Reporting behavior by a Bucknell student that may violate the Academic Irresponsibility policy. This report will be sent to the Associate Academic Dean of the student for review.

For more information on Academic Responsibility

Academic Integrity Reporting Form

Student Accommodations

Can be submitted by: Students

Used for: Students seeking academic or other accommodations within Bucknell through the Office of Accessibility Resources.

For more information about Accessibility Resources

Report to the Office of Accessibility Resources

Misconduct

Report Student or Organizational Misconduct

Can be submitted by: Students, Faculty, Staff, Community Members

Used for: Reporting a possible violation of the Student Code, in which the violation was committed by a Bucknell student, on or off campus. Do not use this to report sexual misconduct, relationship violence or stalking; please use the form under "Report Sexual Misconduct."

For more information on the Student Code of Conduct

Student or Organization Conduct Reporting Form

Report Sexual Misconduct, Relationship Violence & Stalking

Can be submitted by: Students, Faculty, Staff, Community Members

Used for: Reporting sexual misconduct, including sexual harassment, sexual assault, stalking and relationship violence allegations that may violate Bucknell Policies. Anonymous reports can be submitted.

For more information about sexual misconduct

Sexual Misconduct Reporting Form

Report Study Abroad Incidents

Can be submitted by: Students, Faculty, Staff, Community Members

Used for: Informing the Office of Global & Off-Campus Education and other Bucknell partners about incidents that occur abroad. Information will be reviewed and appropriate parties will follow up.

Report a Study Abroad Incident