Student of Concern

Submit this form to report a concern regarding a student to the CICS Advising office for follow-up and support. Reporters are asked to include their name and contact information for follow-up, particularly to receive the name of the advisor assigned to the concern. Thank you for the care and support you are showing students.

Your Concern

Name of the person about whom you are concerned

Please ensure correct spelling.

Student ID (if known)

SPIRE ID number.

Student email address (if known)

UMass email address preferred.

What type of concern do you have?

Academic attendance or performance in a course

Personal or non academic concern

Other

Please tell us more about the concern

Your Information

The advisor may need to follow-up for additional information.

Your name

Your email address

Your participation in the CICS community

Faculty

Staff

TA or UCA

Student

Other

Other (enter "N/A" if not applicable)

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