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Roane State Community College

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Behavioral Concern Referral

Behavioral Concern Referral

Behaviors which warrant immediate dialing of 911 (instead of submitting this form)

Referral Form

Use this form to report any kind of behavior that could indicate a possible or future threat to public safety or self-harm. Your report allows the college to follow up with the individual to help ensure a safe learning environment.

Behavioral Concern Referral Form (MS Word Document)

Behavioral Concern Referral Form (PDF)

If you have questions, or prefer not to use a written form:
Dean of Students Contact Information

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Roane State Community College is a TBR and AA/EEO employer and does not discriminate against students, employees, or applicants for admission or employment on the basis of race, color, religion, creed, national origin, sex, sexual orientation, gender identity/expression, disability, age, status as a protected veteran, genetic information, or any other legally protected class with respect to all employment, programs and activities sponsored by Roane State. View full non-discrimination policy.

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