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Law Student Concern Submission Form

The SMU Dedman Law community looks out for each other and you can help. If you have a SMU Dedman Law friend, student, or child who is struggling, you may report your concerns here, even on an anonymous basis. Concerns may include students who have been missing class, having dramatic mood swings, sleeping too much or not enough, withdrawing from friends and activities; drinking excessively, or feeling worthless or hopeless.

Please provide detailed information about your concern for any SMU Dedman Law student in the form that appears on this page. If you are dealing with an emergency situation, call the SMU Police Department first, at 214-768-3333 or 911. Emergency situations include instances in which there are serious or imminent concerns for a student's personal safety or well-being or the safety of others.

PLEASE READ THIS BEFORE PROCEEDING: Based on the "Level of Response" selected and the information provided in the form below, staff will make contact with the student to address your concern.

In most cases "Routine Response Requested" is the acceptable and appropriate tag to apply, and our office will begin a normal outreach process to the student to offer support in various forms as needed and/or refer them to other campus resources. This option is set as the default choice in the "Level of Response" field below.

If "Informational Report Only" is selected, we will retain the submission for possible future reference, but NO contact will be initiated with the student. We may also get in touch with you, the submitter, to clarify the nature and intent of your submission.

Once the form is submitted, all information will be stored in a password protected database. Access to this confidential information is limited to the Assistant Dean for Student Affairs.

Background Information

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Your full name:

Faculty/staff/student/parent?:

Your phone number:

Your email address:

Email address must be of a valid format.

Your physical address:

Nature of this report(Required):

This field is required.

Date of incident(Required):

This field is required.

Time of incident:

Location of incident(Required):

This field is required.

Specific location:

Student of Concern

Name

Select Gender

ID Number

DOB (YYYY-MM-DD)

Phone number

Email address

Hall/Address

Concern or Incident

Please provide a detailed description of the incident/concern using specific concise, objective language.(Required) This field is required.

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.

Email me a copy of this report