Get support for another student If you are worried about a student please complete and submit this form. Please include as much detail as possible to help us respond appropriately.Click the submit button when you are finished. You will need to complete all sections and submit the form in one session. By completing this form you are consenting to being contacted through the email address you supply on this form.Required fields are marked with an asterisk. About the student Student's first name * Student's last name * Student ID (Number), if known Student's telephone number, if known Student's date of birth, if known About you Your first name * Your last name * Your relationship with student * Your telephone number * Your email address Your concern Why are you concerned about the student? Please be specific and provide as much detail as possible. * Does the student know you are contacting Wellbeing Services? * Yes No Is the student happy to be contacted by our staff? * Yes No Unknown Consent Statement: The information you supply on this form will help us respond to your request, including by phone. We'll treat your personal details with respect and keep them safe, and we'll never sell them to other third parties for commercial use. Please review our privacy statement for more information about how we use your data.