Georgia College & State University Logo

CARE Team Report


If you require emergency assistance, contact Georgia College Public Safety at 478-445-4400 or dial 911.

This form is used to express concern about a member of the Georgia College community (students, faculty, or staff).
This form is not for reporting emergencies. Do not use this site to report events presenting an immediate threat to life or property.
Reports submitted through this service may not receive an immediate response.

Background Information

Please provide as much information as possible.

Learn more
Please provide your title or position at GC. If you are a student, please enter student.
Learn more
What is the best number to reach you if we have questions?
Email address must be of a valid format.
This field is required.
Learn more
What is the nature of your concern?
This field is required.
Learn more
This is not your role in the University but that of the person you are reporting.
This field is required.
This field is required.
Learn more
Where did the incident occur?
Learn more
Please provide more information concerning the location, for example the room number.

Involved Parties

Please list the person or persons you are concerned about.
Provide as much information as possible.

Involved party 1

Information on the Student of Concern

What is the purpose of this report?(Required)
This field is required.
How can the CARE Team best help you?(Required)
You must make at least one selection.
As the reporter of this concern, what is your affiliation with Georgia College?(Required)
You must make at least one selection.
This field is required.
Please indicate the relevant category(ies) that pertain to this referral, if applicable. ACADEMIC CONCERNS
You must make at least one selection.
PHYSICAL CONCERNS
You must make at least one selection.
BEHAVIORAL AND EMOTIONAL CONCERNS
You must make at least one selection.
SOCIAL OR CULTURAL CONCERNS
You must make at least one selection.
OTHER CONCERNS
You must make at least one selection.
SAFETY RISK CONCERNS
You must make at least one selection.
This field is required.
Duration of Behavior(Required)
You must make at least one selection.
This field is required.
Have you reached out to the person of concern? Although you are not required to, this information is helpful for us to know.
You must make at least one selection.
The student/faculty/staff disclosed that they:
You must make at least one selection.
Select any of the following Emergency Services involved (if applicable):
You must make at least one selection.
Are you aware of any of the following circumstances?
You must make at least one selection.
This field is required.
This field is required.
This field is required.
Are you aware of the person of concern's preferred pronouns?
You must make at least one selection.

Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission