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Student Referral Form

Thank you for making a referral on behalf of a student. The purpose of this form is to allow faculty and staff to refer veteran students who need extra care and assistance. Our intention is to be a centralized resource for veteran students at Loyola. Students who are referred will be contacted by a member of our staff to further assess their needs. Appropriate follow-up measures will be taken as necessary.

Please note that this form is NOT for reporting student conduct issues or behavioral concerns.

Refer to the Office of Student Conduct and Conflict Resolution website to file an incident report involving potential violations of the Community Standards. For behavioral concerns, please make a report to the Behavioral Concerns Team (BCT) at: http://luc.edu/bct/forms/referral/.

If you have questions, please contact Lily Hasler, Assistant Director of the Military Veteran Student Service office at lhasler@luc.edu.

*indicates required fields

*Reporter's Name:

*Reporter's Role:

Faculty
Staff
Other

*Reporter's Department:

*Reporter's E-mail Address:

*Re-enter the Reporter's E-mail Address to confirm:

Student's First Name:

*Student's Last Name:

*Issue/Concern:

Academic
Financial
Social
Other

Comments



 

Thank you for making a referral on behalf of a student. The purpose of this form is to allow faculty and staff to refer veteran students who need extra care and assistance. Our intention is to be a centralized resource for veteran students at Loyola. Students who are referred will be contacted by a member of our staff to further assess their needs. Appropriate follow-up measures will be taken as necessary.

Please note that this form is NOT for reporting student conduct issues or behavioral concerns.

Refer to the Office of Student Conduct and Conflict Resolution website to file an incident report involving potential violations of the Community Standards. For behavioral concerns, please make a report to the Behavioral Concerns Team (BCT) at: http://luc.edu/bct/forms/referral/.

If you have questions, please contact Lily Hasler, Assistant Director of the Military Veteran Student Service office at lhasler@luc.edu.

*indicates required fields