Missing student referral form

This form is to be completed in conjunction with the document Wellbeing Support Services guidance for academic departments around non-engagement and missing students

Please ensure that you log in with your Warwick log in before you complete the form.

Please note that all fields are mandatory. If you do not fill in the form correctly, we may need to return it back to you for additional information.

Colleagues regularly monitor the resource account that this form goes to, but please be aware that a missing student referral may be actioned at the beginning of the next working day.

Name of student

ID Number of student

Last date there has been contact from the student with the department and what was the nature of this contact

Any vulnerabilities: is the Department/Personal Tutor aware of any concerns the student has previously expressed; if so, give details

Dates of contacts by department:

Last email sent to Warwick email account:

Last email sent to personal email account

Telephone call – (telephone number(s) called, date and outcome)

HoDs letter

Any other relevant information or concerns

When Wellbeing and Student Support have located/made contact with the student, we will ask the student to contact you via a resource email address and/or contact number – please confirm this below.

Uni ID of referrer

User code of referrer

Full name of referrer

Email of referrer

Privacy notice

Wellbeing Support Services (WSS) will process the personal data collected on this form to assess the requirements of the department for WSS assistance and to assist WSS with trying to contact the student. This processing is carried out in the legitimate interests of the University and the best interests of the student.

The personal data of the referrer collected within this form will not be shared or disclosed to any third parties external to the University of Warwick, [except in circumstances where the police or student’s nominated point of contact may require some further information to help them locate the student] will be kept securely by the University of Warwick and will be retained and processed in line with WSS’ records retention schedule and privacy notice.

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University's Data Protection webpages provide further information on your rights and how the University processes personal data. If you wish to submit a data subjects rights request, make a complaint or report a suspected personal data breach, please contact the University’s Data Protection Officer by email at infocompliance@warwick.ac.uk.

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