I am Concerned About a Student | Bridgewater College

I am Concerned About a Student

Please use this form to notify the Counseling Center about concerns you may have about a current BC student. Please fill out all information in the fields below completely before submitting. ( Fields marked with * are required )
Relationship to Student:
	Class Professor
	Advisor
	Supervisor
	Other:
* Student's Full Name:
Student's College ID Number:
I am concerned because this student has: (check all that apply)
	Regularly missed classes
	Performed below expectations
	Not been seen in a number of days
	Talked about leaving Bridgewater
	Been uncharacteristically inattentive/unresponsive
	Had significant behavioral or mood/attitude/appearance changes
Comments:
	Fac/Staff Name: Fac/Staff Extension:
To adequately address your concern, we would like to share your name with this student. However, we do respect your confidentiality, thus if you wish to remain anonymous please let us know. Please click Submit to send this form to Crystal Lynn, Assistant Dean of Students. The Offices of Student Affairs and Counseling Services will make every effort to address your concern and assist the student. Thank you.