LSU Cares - Behavioral Management Team

This form is to be utilized by professors, advisors, and/or work supervisors who are concerned about a student's emotional, behavioral and personal well-being.

This information will be used by the LSU Cares Team to make contact with the student and assess the situation. Please be advised that referral information will be shared with the student.

Date:
  
Faculty/Staff Name:
 
Faculty/Staff Email:
 
Student’s Name:
  
Student’s LSU ID # (if known):
 
     

Please check the area(s) of concern which you have identified:

Sexual harassment and stalking
Possession of a weapon
Overt verbal threats
Threatening e-mails
Potential danger to others
Potential danger to self
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