Complete this form to refer a student to Wellbeing and Student Support.
This form can be completed by anyone concerned about a student who may benefit from wellbeing support.
Once submitted the completed forms will be reviewed by a Wellbeing Practitioner and appropriate action taken. We will contact you if we need more detail.
Please also note that this referral will be viewed and actioned during the Wellbeing and Student Support standard office hours being Monday to Thursday 9am – 5pm or Fridays 9am to 4.30pm. IF URGENT SUPPORT OR ADVICE IS REQUIRED PLEASE CALL THE EMERGENCY SERVICES AND/ OR COMMUNITY SAFETY TEAM.
Section 1: Referrer Details
Section 2: Student Details
Please complete details about the student your concerns relate to (leave blank if you don't know).
Section 3: Reason for Referral
After you click 'send form' this form will be submitted to Wellbeing and Student Support.
A Wellbeing Practitioner will review the details and take appropriate action. We will contact you if we need more detail.
Thank you.
The information on this form will be used to offer support to students at the Univeristy. The data you provide will be treated sensitively but is not anonymous.
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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