Andrews University Advocate System Visit www.andrews.edu Public CARE Report Welcome to the Andrews University CARE Report form. Use this form to report concerns about the wellbeing of others. Please provide as much detail about the situation as possible. Your full name is required in order to submit this report and will not be shared with subjects in this report, as far as possible. If you would like to make a report in person or have questions about this form, please contact the Office of Campus Safety at 269-471-3321 or the Student Life office at 269-471-2679. If the situation you are reporting is an EMERGENCY and requires immediate attention, call 911 and/or the Office of Campus Safety at 269-471-3321. * indicates a required field Reporter Type Please indicate your relationship to Andrews University. Faculty/Staff Student Community Member Reporter Information My Name Required * Please provide your full name. My Email Please provide your email address so that we can contact you if we have follow up questions about this report. My Phone Number Please provide your phone number so that we can contact you if we have follow up questions about this report. Report Type(s) Required * Please select the type of incident or concern that you are reporting. COVID - Quarantine Academic Concern COVID - Isolation Death of Immediate Family Member Death of Loved One Emotional Health & Wellbeing Emotional Outburst Minor Illness/Injury Other Potential Harm to Others Potential Harm to Self Serious Illness/Injury Time and Location Date/Time of Incident What date and approximate time did the incident or concern occur? 01 02 03 04 05 06 07 08 09 10 11 12 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 am pm Location Where did the incident or concern occur? Choose... Additional Location Information If applicable, please provide any additional location details (for example: in the 3rd floor lobby). Parties Involved Student(s) Involved Please list the names (and emails, if possible) of students involved in this incident or concern. Others Involved Please list the names (and emails, if possible) of others involved in this incident or concern. Witness(es) Please list names and contact information (if available) for all witnesses to this incident or concern. Descriptive Information Description Required * Please provide as much information as possible about the incident or concern (no text limit). Verification Required * Please enter the verification code that appears below. Click the link below the image to hear the code read aloud.